| Dr Babatunde Tenitayo Fariyike, MD | |
|
612 W Gordon St Ste A, Thomaston, GA 30286-3480 | |
| (706) 647-8065 | |
| (706) 647-8019 |
| Full Name | Dr Babatunde Tenitayo Fariyike |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 612 W Gordon St Ste A, Thomaston, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265436760 | NPI | - | NPPES |
| 582084278 | Other | GA | TAX ID |
| 00572008A | Medicaid | GA | |
| 00572008B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 037532 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomaston Dialysis | Thomaston, GA | Dialysis facility |
| Upson Regional Medical Center | Thomaston, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upson County Hospital Inc | 8729075536 | 11 |
| Babatunde Fariyike, M.d., Llc | 9830260991 | 2 |
| Entity Name | Babatunde Fariyike, M.d., Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730262163 PECOS PAC ID: 9830260991 Enrollment ID: O20080617000385 |
| Entity Name | Upson County Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659376630 PECOS PAC ID: 8729075536 Enrollment ID: O20130131000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Babatunde Tenitayo Fariyike, MD Po Box 84, Thomaston, GA 30286-0002 Ph: (706) 647-8065 | Dr Babatunde Tenitayo Fariyike, MD 612 W Gordon St Ste A, Thomaston, GA 30286-3480 Ph: (706) 647-8065 |
Mark E Dorogy, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 612 W Gordon St, Suite C, Thomaston, GA 30286 Phone: 706-646-5712 Fax: 706-647-5111 | |
Jonathan Frank Busbee, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 615 S Center St, Thomaston, GA 30286 Phone: 706-647-2147 Fax: 706-647-7229 | |
Dr. Benjamin Paul Williams, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 202 Cherokee Rd, Thomaston, GA 30286 Phone: 706-647-3200 Fax: 706-647-2346 | |
Mrs. Virginia Sharron Jones, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 211 E Thompson St, Thomaston, GA 30286 Phone: 706-647-1200 Fax: 706-647-3998 |