Odianosen Idiahi Obadan, MD in Lawrenceville, GA

Odianosen Idiahi Obadan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Lawrenceville, Georgia. He graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Physician Services - Southeast Professional Corporation, Southeastern Hospitalist Services Pc, Hospital Physician Services - Southeast Professional Corporation, Pikeville Medical Center Inc and his current practice location is 601 Professional Dr Ste 235a, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 292-3957.

Odianosen Idiahi Obadan is licensed to practice in Georgia (license number 86371) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902200835.

Contact Information

	Odianosen Idiahi Obadan, MD
	601 Professional Dr Ste 235a, Lawrenceville, GA 30046-7697
	(470) 292-3957
	(470) 292-3683

Map and Direction

Physician's Profile

Full Name	Odianosen Idiahi Obadan
Gender	Male
Speciality	Internal Medicine
Experience	18 Years
Location	601 Professional Dr Ste 235a, Lawrenceville, 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.

Medical Education and Training:

Odianosen Idiahi Obadan graduated from medical school in 2007

NPI Data:

NPI Number: 1902200835
Provider Enumeration Date: 10/21/2014
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 3375803265
Enrollment ID: I20200721003677

Medical Identifiers

Medical identifiers for Odianosen Idiahi Obadan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902200835	NPI	-	NPPES
847347	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD61234746 (Washington)	Secondary
207R00000X	Internal Medicine	84734 (South Carolina)	Secondary
207R00000X	Internal Medicine	MD61234746 (Washington)	Secondary
207RN0300X	Internal Medicine - Nephrology	86371 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pikeville Medical Center	Pikeville, KY	Hospital
Doctors Hospital	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospital Physician Services - Southeast Professional Corporation	5597774554	662
Southeastern Hospitalist Services Pc	3476855420	264
Hospital Physician Services - Southeast Professional Corporation	5597774554	662
Pikeville Medical Center Inc	6709790157	384

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Odianosen Idiahi Obadan allows following entities to bill medicare on his behalf.

Entity Name	Crisp Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700851649 PECOS PAC ID: 5991616336 Enrollment ID: O20040107000032

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

Entity Name	Apogee Medical Group Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214

Entity Name	Statesboro Hma Physician Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558412023 PECOS PAC ID: 8820196058 Enrollment ID: O20070612000028

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Odianosen Idiahi Obadan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Odianosen Idiahi Obadan, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (815) 741-6830	Odianosen Idiahi Obadan, MD 601 Professional Dr Ste 235a, Lawrenceville, GA 30046-7697 Ph: (470) 292-3957

Reviews and Comments

Internal Medicine Doctors in Lawrenceville, GA

Dr. Angus C Howard Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150
Gary Mcmorris, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 950 River Centre Pl, Lawrenceville, GA 30043 Phone: 770-682-1717 Fax: 770-682-1723
Niraj Sharma, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr Ste 400, Lawrenceville, GA 30046 Phone: 404-962-6000 Fax: 404-962-6001
Dr. Karuna Kusan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043 Phone: 770-995-0466 Fax: 770-995-0472
Mr. Spencer I Rozin, MD FACP Nephrology Medicare: Medicare Enrolled Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046 Phone: 770-709-0900 Fax: 770-709-7444
Praveen Sivakumaran, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 450, Lawrenceville, GA 30046 Phone: 770-963-8030 Fax: 770-339-9577
Dr. Yan Lin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3294

Odianosen Idiahi Obadan, MD - Medicare Internal Medicine in Lawrenceville, GA