| Leah C Blanton Adeniyi, MD | |
| 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 | |
| (770) 389-3855 | |
| (770) 474-8078 | 
| Full Name | Leah C Blanton Adeniyi | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 1240 Eagles Landing Pkwy Ste 110, Stockbridge, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366899106 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | MT210804 (Pennsylvania) | Secondary | 
| 207Q00000X | Family Medicine | 12624 (Georgia) | Primary | 
| Entity Name | Aylo Health, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013018811 PECOS PAC ID: 8022901925 Enrollment ID: O20040204000918 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Leah C Blanton Adeniyi, MD 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 Ph: (770) 914-0116 | Leah C Blanton Adeniyi, MD 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 Ph: (770) 389-3855 | 
| Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
| Edwina Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
| Loni Elise Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281 Phone: 770-507-0029 Fax: 770-507-9990 | |
| Dr. Clifford Lee Kauffman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Eva Ln, Stockbridge, GA 30281 Phone: 770-957-6702 | |
| Vera Lafosse, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Southcrest Dr Ste 200, Stockbridge, GA 30281 Phone: 770-474-5302 Fax: 770-474-1275 | |
| Peter Chinedu Nwaizuzu, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3750 N Henry Blvd, Stockbridge, GA 30281 Phone: 678-379-7190 Fax: 202-207-3732 | |
| Christina Price-jackson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 |