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DR. AYOMIDE HENRIETTA ADEYEMI MD
NPI 1922948991
Student in an Organized Health Care Education/Training Program in Smyrna, GA

Active since March 30, 2026PECOS Enrolled
582 CONCORD ROAD SE, SMYRNA, GA 30082(470) 956-4000(770) 319-5703 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 6, 2026, Apr 1, 2026 (2 updates tracked since 2026).

About Dr. Ayomide Henrietta Adeyemi Md NPPES

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

DR. AYOMIDE HENRIETTA ADEYEMI MD (NPI 1922948991) is an individual student in an organized health care education/training program in Smyrna, Georgia and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922948991
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AYOMIDE HENRIETTA ADEYEMICredential: MD
Location Address582 CONCORD ROAD SESmyrna, GA 30082
Mailing Address677 Church St NeMarietta, GA 30060-1101
Phone(470) 956-4000
Fax(770) 319-5703
Sole ProprietorNo
Enumeration DateMarch 30, 2026
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1922948991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
582 CONCORD ROAD SE, Smyrna, GA 30082
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ayomide Henrietta Adeyemi 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.

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 Ayomide Adeyemi's NPI number?

The NPI number for Ayomide Adeyemi is 1922948991. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Ayomide Adeyemi located?

Ayomide Adeyemi practices at 582 Concord Road SE, Smyrna, GA 30082. The listed phone number is (470) 956-4000.

What is Ayomide Adeyemi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ayomide Adeyemi enrolled in Medicare?

Yes. Ayomide Adeyemi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayomide Adeyemi was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.