DR. AJALA OSAGIE (M.D.) – Emergency Medicine Physician, NPI 1215377726

DR. AJALA OSAGIE (M.D.) is a healthcare provider. based in Stockbridge, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 078112 (GA). The NPI Number for DR. AJALA OSAGIE (M.D.) is 1215377726

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. AJALA OSAGIE (M.D.)
NPI
1215377726
Phone
(678) 604-1000
Address
1133 EAGLES LANDING PKWY
Enumeration Date
28 June 2013
Last Update Date
27 July 2024

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
2406933281
Graduation Year
2013 (13 years ago)
PAC ID
0547534240
Group Practice PAC ID
9830540624
Professional Enrollment ID
I20170919002853
Address ID
GA303183669AT1500XNWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. AJALA OSAGIE (M.D.)

  • 1133 EAGLES LANDING PKWY

    STOCKBRIDGE, GA 302815085

    Phone: (678) 604-1000

    Type: Mailing

  • 1255 HIGHWAY 54 W

    FAYETTEVILLE, GA 302144526

    Phone: (770) 719-6911

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170919002853IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making176174$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only102100$0
99291Critical care, first 30-74 minutes6464$0
99284Emergency department visit with moderate level of medical decision making5656$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830540624View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeFL
Family PracticeCA
Family PracticePA
Family PracticeGA
Family PracticeAZ
Family PracticeMN
Family PracticeCA
Family PracticeMO
Geriatric Medicine, Family PracticeTX

Reviews

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Frequently asked questions

How is DR. AJALA OSAGIE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. AJALA OSAGIE (M.D.) with NPI 1215377726.
Does the file indicate DR. AJALA OSAGIE (M.D.) is practicing under active NPI?
Directory data currently reports DR. AJALA OSAGIE (M.D.) as active.
What is DR. AJALA OSAGIE (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. AJALA OSAGIE (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. AJALA OSAGIE (M.D.)?
DR. AJALA OSAGIE (M.D.)'s geographic hint is Stockbridge, Georgia in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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