| Olumide Adeniyl Ajayi, MD | |
|
106 Old Mill Rd Ste 100, Lagrange, GA 30241-6704 | |
| (706) 803-8500 | |
| Not Available |
| Full Name | Olumide Adeniyl Ajayi |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 106 Old Mill Rd Ste 100, Lagrange, 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 |
|---|---|---|---|
| 1821228255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RL11257 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 11941 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 076284 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Olumide Adeniyl Ajayi, MD 106 Old Mill Rd Ste 100, Lagrange, GA 30241-6704 Ph: (706) 803-8500 | Olumide Adeniyl Ajayi, MD 106 Old Mill Rd Ste 100, Lagrange, GA 30241-6704 Ph: (706) 803-8500 |
Michael Lee Brackett, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 122a Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4035 | |
Dr. William B Bohannon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Lafayette Pkwy, Lagrange, GA 30241 Phone: 706-803-8190 | |
Clarence Terrell Alford Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Smith St, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Dr. Srinivas R Bramhadevi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Lafayette Street, Lagrange, GA 30241 Phone: 706-880-7335 Fax: 706-812-2403 | |
Dr. Gary Ronald Solt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Vernon St, Lagrange, GA 30240 Phone: 706-885-9110 Fax: 706-885-9113 | |
Dr. Katherine A. Hemby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Smith St, Lagrange, GA 30240 Phone: 706-882-8331 |