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OLUWASEUN S OGUNJEMILUSI MD
NPI 1639707920
Internal Medicine in Carrollton, GA

Active since March 31, 2020PECOS Enrolled
85.99/100
CMS Quality Rating
705 DIXIE ST, CARROLLTON, GA 30117(705) 812-9666 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2023, May 12, 2020, Apr 12, 2020 and 1 more (4 updates tracked since 2020).

About Oluwaseun S Ogunjemilusi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUWASEUN S OGUNJEMILUSI MD (NPI 1639707920) is an individual internal medicine provider in Carrollton, Georgia, licensed in Georgia (96447) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639707920
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOLUWASEUN S OGUNJEMILUSICredential: MD
Location Address705 DIXIE STCarrollton, GA 30117-3818
Mailing Address6104 Brodick LnLithia Springs, GA 30122-6884 · (770) 812-9666
Phone(705) 812-9666
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1639707920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 96447
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
705 DIXIE ST, Carrollton, GA 30117
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluwaseun S Ogunjemilusi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Oluwaseun Ogunjemilusi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group, Georgia, Inc.
0.2 mi
Internal Medicine
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 335 clinicians in this Medicare group
NPI 1629025143 (770) 836-9667
Covenant Medical Group LLC
48 mi
Pulmonary Disease
3605 SANDY PLAINS RD STE 240-235
Marietta, GA 30066
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1194235853 (770) 990-8212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
269 services122 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
121 services64 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services119 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Improvement Activities40
Cost80.63

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Jessica ***** December 18, 2023

5/5
Best physician encounter I have ever experienced. I mean you just gotta love his energy and can tell he is truly compassionate about what he does! Highly recommend!
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST GEORGIA PATHOLOGY, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117
Carroll County (678) 305-9046
LORIEN T ALTADONNA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 836-9672
DR. AARON EZRA HARPER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-9666
DR. ODESSA KIRSTEN SPRAGGINS MD
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (800) 232-5703
SANDRA HARRINGTON
Health Educator
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-5954
KRISTIN LEEANN ROOKS FNP-C
Nurse Practitioner (Family)
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (678) 542-0950
DR. MICHAEL HAMNER DO
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (800) 232-5703
ERIN DAWN CANSLER RN
Registered Nurse
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-9666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwaseun Ogunjemilusi's NPI number?

The NPI number for Oluwaseun Ogunjemilusi is 1639707920. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Oluwaseun Ogunjemilusi located?

Oluwaseun Ogunjemilusi practices at 705 Dixie St, Carrollton, GA 30117. The listed phone number is (705) 812-9666.

What is Oluwaseun Ogunjemilusi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Oluwaseun Ogunjemilusi enrolled in Medicare?

Yes. Oluwaseun Ogunjemilusi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oluwaseun Ogunjemilusi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwaseun Ogunjemilusi reassigns Medicare benefits to 2 organizations: Apogee Medical Group, Georgia, Inc. (Carrollton, GA) and Covenant Medical Group LLC (Marietta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oluwaseun Ogunjemilusi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oluwaseun Ogunjemilusi accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Oluwaseun Ogunjemilusi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oluwaseun Ogunjemilusi was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.