Bamidele Ayotunde Ajibola (NPI# 1669644589, PAC ID# 4082809009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669644589 |
| PAC ID by PECOS | 4082809009 |
| Professional Enrollment ID | I20101116000257 |
| Full Name | Bamidele Ayotunde Ajibola |
| Organization Legal Name | PIEDMONT ATHENS HOSPITALIST PHYSICIANS LLC |
| Address |
1199 Prince Ave Athens GA 30606-2797 |
| Phone Number | 7064755076 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6305196411 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110007 | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| 110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 417 W 3rd Ave, Albany, GA 31701-1943 | 2293125133 | PHOEBE PHYSICIAN GROUP INC |
| 1199 Prince Ave, Athens, GA 30606-2797 | 7064755076 | PIEDMONT ATHENS HOSPITALIST PHYSICIANS LLC |
| 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 6783123294 | GWINNETT PHYSICIAN GROUP,LLC |
| 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 | 6783124321 | GWINNETT PHYSICIAN GROUP,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 99% | |
| MIPS_EC_047_overall | Care Plan | 99% |
| Organization Legal Name | PIEDMONT ATHENS HOSPITALIST PHYSICIANS LLC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Marie Vasquez Veloso | Hospitalist | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Barbara Pruitt | Nurse Practitioner | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Francis Ampadu | Internal Medicine | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Arpit A Shah | Internal Medicine | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Juan Gabriel Guillot | Hospitalist | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Mohammed Obeidin | General Surgery | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Stephanie R Wallace | Nurse Practitioner | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Christina Hendry | Hospitalist | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Kelly Williams Crowe | Nurse Practitioner | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Bethany Owens | Nurse Practitioner | Piedmont Athens Hospitalist Physicians LLC | 70 Medical Ctr Dr, Commerce, GA 30529-1078 |
| Street Address |
1199 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip | 30606-2797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Hooper | Anesthesiology Assistant | Medical Center Anesthesiology of Athens | 1199 Prince Ave, Athens, GA 30606-2797 |
| Meaghan G Warden | Anesthesiology Assistant | Medical Center Anesthesiology of Athens | 1199 Prince Ave, Athens, GA 30606-2797 |
| John W Whiteley | Anesthesiology | Medical Center Anesthesiology of Athens | 1199 Prince Ave, Athens, GA 30606-2797 |
| Sven A Swanson | Pathology | Athens Regional Pathology Associates, LLP | 1199 Prince Ave, Athens, GA 30606-2797 |
| John R Butler | Emergency Medicine | Georgia Emergency Medicine Specialists, PC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Audrey Marie Vasquez Veloso | Hospitalist | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Cassie N Campbell | Obstetrics/gynecology | Piedmont Athens Specialty Care LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Samit A Patel | Obstetrics/gynecology | Obhg Georgia, P.C. | 1199 Prince Ave, Athens, GA 30606-2797 |
| Edwina S Biron | Physician Assistant | Piedmont Athens Specialty Care LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Barbara Pruitt | Nurse Practitioner | Piedmont Athens Hospitalist Physicians LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Danielle Clayton | Physician Assistant | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| John F Grace | Psychologist, Clinical | 1 Huntingdon Rd, Suite 801, Athens, GA 30606 | |
| Jon L Forche | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Joel T Groft | Chiropractic | 623 N Milledge Ave, Suite A, Athens, GA 30606 | |
| Alexcis Thomson Ford | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Marcie Nicks | Nurse Practitioner | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Sarah A Huber | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Robert B Raybon | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Margaret S Brya | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Nadine Greer Forche' | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Find all physicians in zip 30606 | |||
| City | ATHENS |
| Zip Code | 30606 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ATHENS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bamidele Ayotunde Ajibola.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.