Olumide Adeniyl Ajayi, MD | |
1497 Lafayette Pkwy, Lagrange, GA 30241-2552 | |
(706) 880-7335 | |
(706) 812-2403 |
Full Name | Olumide Adeniyl Ajayi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 1497 Lafayette Pkwy, 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 | 1917 |
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 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 Ph: (706) 880-7335 | Olumide Adeniyl Ajayi, MD 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 Ph: (706) 880-7335 |
Dr. Mona Batra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Brush Creek Ct, Lagrange, GA 30240 Phone: 706-416-2490 | |
Michael Lee Brackett, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 122a Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4035 | |
Ahmed Moussa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-812-2369 | |
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. Mohammed Mehboob Qureshi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd, Lagrange, GA 30240 Phone: 706-884-2691 | |
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 |