DR. OLUROPO A AYENI (NPI# 1275572190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275572190 |
Entity Type | Individual |
Full Name | DR. OLUROPO A AYENI |
Credential | MD |
Practice Address |
2759 Mount Zion Pkwy Suite C Jonesboro GA 30236-2568 |
Practice Telephone | 6782898338 |
Practice Fax Number | 7706030515 |
Mailing Telephone | 6782898338 |
Mailing Fax Number | 7706030515 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-07-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 043534 | GA | Allopathic & Osteopathic Physicians |
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
043534 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000794857D | 05 | |
GA | 000794857C | 05 |
Street Address |
2759 MOUNT ZION PKWY SUITE C |
City | JONESBORO |
State | GA |
Zip Code | 30236-2568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508482746 | Olubunmi Tina Ayeni | Nurse Practitioner | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2020-06-23 |
1356971568 | Cassandra Amey | Speech-Language Pathologist | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2020-01-16 |
1861056871 | Jasmine Merrell | Occupational Therapist | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2019-04-24 |
1447784210 | Alexandra Shular | Speech-Language Pathologist | 2759 Mount Zion Pkwy, Suite A, Jonesboro, GA 30236-2568 | 2017-04-18 |
1376928903 | Mt Zion Urgent Care Center LLC | Clinic/Center | 2759 Mount Zion Pkwy, Suite D, Jonesboro, GA 30236-2568 | 2015-07-24 |
1538434311 | Wellspring Family Medical Center, Inc | Clinic/Center | 2759 Mount Zion Pkwy, Suite 3, Jonesboro, GA 30236-2568 | 2012-03-13 |
1063794154 | Bisol Home Care Services, Inc | In Home Supportive Care | 2759 Mount Zion Pkwy, Suite D, Jonesboro, GA 30236-2568 | 2011-09-14 |
1043448392 | Covenant Medical Diagnostics | Clinical Medical Laboratory | 2759 Mount Zion Pkwy, Suite A/b, Jonesboro, GA 30236-2568 | 2009-06-25 |
1710129465 | Michael O Oyerinde | Clinical Medical Laboratory | 2759 Mount Zion Pkwy, Suite A/b, Jonesboro, GA 30236-2568 | 2009-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
Find all providers in zip 30236 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376928903 | Mt Zion Urgent Care Center LLC | Clinic/Center | 2759 Mount Zion Pkwy, Suite D, Jonesboro, GA 30236-2568 | 2015-07-24 |
1548538200 | Louisiana Family Medicine Clinic 1 | Clinic/Center | 103 Watts St, Jonesboro, LA 71251-2053 | 2011-12-09 |
1558488163 | Clayton Medical Surgical | Clinic/Center | 6911 Tara Blvd # A, Jonesboro, GA 30236-1503 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
1982214888 | Emergent Testing LLC | Clinic/Center | 2566 Shallowford Rd Ne Ste 204, Atlanta, GA 30345-1249 | 2020-08-05 |
1154931541 | The Urgent Care Center of Richmond Hill, LLC | Clinic/Center | 818 Abercorn St, Savannah, GA 31401-5933 | 2020-07-31 |
1346858255 | Castellum Medical Consultants LLC | Clinic/Center | 1618 Mars Hill Rd Ste A, Watkinsville, GA 30677-4847 | 2020-07-16 |
1861010423 | Rural Urgent Care LLC | Clinic/Center | 440 Us Highway 84 E, Cairo, GA 39828-1647 | 2020-07-10 |
1013535657 | Statesboro Medical Group, LLC | Clinic/Center | 1176 Brampton Ave, Statesboro, GA 30458-0847 | 2020-07-09 |
1083249114 | Medlife Urgent Care LLC | Clinic/Center | 345 Huntington Place Ct Ste 200, Mcdonough, GA 30253-8651 | 2020-03-09 |
1376173906 | Rural Urgent Care LLC | Clinic/Center | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7791 | 2020-01-23 |
1942846100 | Pickens Urgent Care LLC | Clinic/Center | 744 Noah Dr Ste 108-109, Jasper, GA 30143-8705 | 2019-11-22 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.