Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. ADURAGBEMI JULIANA AYENI
NPI 1962907576
Colon & Rectal Surgery in Atlanta, GA

Active since March 26, 2018PECOS Enrolled
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 616-7847 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Mar 26, 2018 (2 updates tracked since 2018).

About Ms. Aduragbemi Juliana Ayeni NPPES

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

MS. ADURAGBEMI JULIANA AYENI (NPI 1962907576) is an individual colon & rectal surgery provider in Atlanta, Georgia, licensed in Texas (W6431) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shenandoah.

NPPES Registry Identity

NPI1962907576
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameMS. ADURAGBEMI JULIANA AYENI
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address3102 Hillside Landing TrlKaty, TX 77494-7242 · (404) 729-9296
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1962907576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in TX · W6431
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License W6431 (TX)
720 WESTVIEW DR SW, Atlanta, GA 30310

Secondary Practice Location 1

Location 1920 Medical Plaza Dr Ste 330Shenandoah, TX 77380-3271 · Phone (832) 663-0037 · Fax (281) 962-3033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Aduragbemi Juliana Ayeni 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30310 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310

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 Aduragbemi Ayeni's NPI number?

The NPI number for Aduragbemi Ayeni is 1962907576. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Aduragbemi Ayeni located?

Aduragbemi Ayeni practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 616-7847.

What is Aduragbemi Ayeni's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Aduragbemi Ayeni enrolled in Medicare?

Yes. Aduragbemi Ayeni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aduragbemi Ayeni was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.