BOYEDE F. ADEMODI M.D – NPI #1043343387
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

BOYEDE ADEMODI is a physician located in JONESBORO, GA. NPPES has assigned the NPI number 1043343387 to BOYEDE ADEMODI on March 14, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOYEDE ADEMODI below.

NPI Profile for
BOYEDE F. ADEMODI

NPI Number
1043343387
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BOYEDE F. ADEMODI
Credentials
M.D
Primary location
2400 MOUNT ZION PKWY
DEPARTMENT OF INTERNAL MEDICINE
JONESBORO, GA 30236-2500
Phone: (770) 603-3667 Fax:
Mailing address
3495 PIEDMONT RD NE
NINE PIEDMONT CENTER
ATLANTA, GA 30305-1773
Phone: (404) 364-7000 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
GA 58385

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.