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ANTHONY ADEBAYO ADETOMIWA MD
NPI 1902469752
Pediatrics in Moultrie, GA

Active since April 17, 2019PECOS Enrolled
3131 S MAIN ST, MOULTRIE, GA 31768(229) 891-9131 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2025, Jul 28, 2023, Jul 14, 2023 and 3 more (6 updates tracked since 2019).

About Anthony Adebayo Adetomiwa Md NPPES

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

ANTHONY ADEBAYO ADETOMIWA MD (NPI 1902469752) is an individual pediatrics provider in Moultrie, Georgia, licensed in Georgia (92799) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902469752
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANTHONY ADEBAYO ADETOMIWACredential: MD
Location Address3131 S MAIN STMoultrie, GA 31768-6925
Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 502-9782
Phone(229) 891-9131
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateSeptember 4, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1902469752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 92799
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3131 S MAIN ST, Moultrie, GA 31768
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Kansas, Inc., Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Adebayo Adetomiwa 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

3

Medicare enrollment records show Anthony Adetomiwa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Colquitt Regional Hospitalists, LLC
Same address
Hospitalist
3131 S MAIN ST
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
  • 39 clinicians in this Medicare group
NPI 1851840912 (229) 985-3420
Colquitt Regional Medical Center
Same address
General Acute Care Hospital
3131 SOUTH MAIN ST
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
  • 74 clinicians in this Medicare group
NPI 1912099094 (229) 985-3420
Cogent Healthcare Of Georgia PC
120 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

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.

JARED KENT CARDWELL MD
Family Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9782
NOMAN AHMED MALIK M.D.
Radiology (Diagnostic Radiology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 890-3500
RADIOLOGY ASSOCIATES OF MOULTRIE
Radiology (Diagnostic Radiology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-8802
GEORGE ANTHONY SHEFFIELD JR. PT
Physical Therapist
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-3420
WOODWIN MICHAEL WEEKS DO
Family Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-3420
DR. TRE'CHERIE ARACHAEL CRUMBS MD
Internal Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9782
MAILYN CRUZ
Student in an Organized Health Care Education/Training Program
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
ANTHONY M MOSER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-7977

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 Anthony Adetomiwa's NPI number?

The NPI number for Anthony Adetomiwa is 1902469752. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Anthony Adetomiwa located?

Anthony Adetomiwa practices at 3131 S Main St, Moultrie, GA 31768. The listed phone number is (229) 891-9131.

What is Anthony Adetomiwa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anthony Adetomiwa enrolled in Medicare?

Yes. Anthony Adetomiwa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anthony Adetomiwa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Adetomiwa reassigns Medicare benefits to 3 organizations: Colquitt Regional Hospitalists, LLC (Moultrie, GA), Colquitt Regional Medical Center (Moultrie, GA) and Cogent Healthcare Of Georgia PC (Macon, 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 Anthony Adetomiwa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Adetomiwa accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Kansas, Inc. and Oscar Health list Anthony Adetomiwa 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 Anthony Adetomiwa was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.