GANI ADEBOYE (NPI# 1780089375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780089375 |
| Entity Type | Individual |
| Full Name | GANI ADEBOYE |
| Practice Address |
4854 Old National Hwy Suite 172 College Park GA 30337-6221 |
| Mailing Address |
11980 Olmstead Dr Fayetteville GA 30215-6687 |
| Practice Telephone | 4042289544 |
| Mailing Telephone | 6788863821 |
| Mailing Fax Number | 4049359636 |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2014-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4854 OLD NATIONAL HWY SUITE 172 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30337-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407926207 | Ultimate Health Services | Nursing Care | 4854 Old National Hwy, Suite 236, College Park, GA 30337-6221 | 2006-11-08 |
| 1023454105 | Faye Ann Buffaloe | Counselor | 4854 Old National Hwy, Suite 226, College Park, GA 30337-6221 | 2013-05-16 |
| 1134414691 | Dme of America | Home Health | 4854 Old National Hwy, Suite 162, College Park, GA 30337-6221 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
| 1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
| 1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
| 1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
| 1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
| 1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
| 1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
| 1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
| 1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
| 1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
| Find all providers in zip 30337 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801281100 | On-site Imaging Solutions LLC | Radiologic Technologist | 10755 Brunson Dr, Johns Creek, GA 30097-8465 | 2015-04-02 |
| 1013318948 | Patti Catlett | Radiologic Technologist | 3060 Cypress Cv, Ball Ground, GA 30107-2675 | 2014-09-10 |
| 1033471669 | Vincent Paul Jackson | Radiologic Technologist | 4950 Glaze Dr, Atlanta, GA 30360-1702 | 2012-06-11 |
| 1184870115 | David Anthony Hardwick | Radiologic Technologist | 3198 Trinity Mill Cir, Dacula, GA 30019-1036 | 2008-08-11 |
| 1154584555 | Kathy C Isley | Radiologic Technologist | Lockheed Martin Aeronautics Co, 86 South Cobb Drive, Dept Re2m, Zone 0454, Marietta, GA 30063-0001 | 2008-07-07 |
| 1639298276 | Brian L Jones | Radiologic Technologist | 203 Pineywood Rd, Griffin, GA 30224-4964 | 2007-03-28 |
| 1346255080 | Open Mri of Milledgeville LLC | Radiologic Technologist | 1850 North Columbia Street, Suite 3, Milledgeville, GA 31061-7113 | 2006-07-30 |
| 1134151079 | Tina Marie Sapp | Radiologic Technologist | 1401 Tift Ave N, Tifton, GA 31794-3585 | 2006-07-07 |
| 1265421614 | Greene David Mock | Radiologic Technologist | 34 Diana Dr, Savannah, GA 31406-7510 | 2005-10-18 |
| 1750908927 | Cassidy Davis | Radiologic Technologist | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 30337 |
Please comment or provide details below to improve the information on GANI ADEBOYE.
| 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.