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ADETOLA MAKANJUOLA
NPI 1972499200
Nurse Practitioner in Woodstock, GA

Active since June 13, 2025PECOS Enrolled
370 TILLMAN PASS, WOODSTOCK, GA 30188(404) 492-2737 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adetola Makanjuola NPPES

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

ADETOLA MAKANJUOLA (NPI 1972499200) is an individual nurse practitioner in Woodstock, Georgia, licensed in Georgia (285464) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972499200
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameADETOLA MAKANJUOLA
Location Address370 TILLMAN PASSWoodstock, GA 30188-5632
Mailing Address370 Tillman PassWoodstock, GA 30188-5632 · (404) 492-2737
Phone(404) 492-2737
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 13, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1972499200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 285464
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
370 TILLMAN PASS, Woodstock, GA 30188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adetola Makanjuola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092201830
PECOS Enrollment IDI20251231002707
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 Reassignment

Medicare enrollment records show Adetola Makanjuola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
718 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 30188 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Adetola Makanjuola's NPI number?

The NPI number for Adetola Makanjuola is 1972499200. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Adetola Makanjuola located?

Adetola Makanjuola practices at 370 Tillman Pass, Woodstock, GA 30188. The listed phone number is (404) 492-2737.

What is Adetola Makanjuola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Adetola Makanjuola enrolled in Medicare?

Yes. Adetola Makanjuola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adetola Makanjuola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adetola Makanjuola reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Adetola Makanjuola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adetola Makanjuola accept?

Health plans from CareSource (Common Ground Healthcare) list Adetola Makanjuola 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 Adetola Makanjuola was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.