DR. SAMSON ADEWALE (MD) – Family Medicine Physician, NPI 1346731635
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
Provider Addresses for DR. SAMSON ADEWALE (MD)
1170 CLEVELAND AVE STE 100
EAST POINT, GA 303443615
Phone: (404) 466-7900
Fax: (770) 999-2860
Type: Location
Northeast 10th Street, Midwest City, Oklahoma County, Oklahoma, 73141, United States
OKLAHOMA CITY, OK 731045420
Phone: (405) 271-2230
Type: Location
1912 AL HIGHWAY 157
CULLMAN, AL 350580609
Phone: (256) 737-2000
Type: Location
200 TOWN MADISON BLVD APT 3211
MADISON, AL 357586692
Phone: (404) 644-3747
Type: Mailing
257 LAWRENCE ST NE UNIT 571
MARIETTA, GA 300612309
Phone: (404) 644-3747
Type: Mailing
2009 LAWRENCEVILLE SUWANEE RD STE 100
SUWANEE, GA 300242612
Phone: (404) 644-3747
Type: Location
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: 2022-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211026000296 | I | Emergency Medicine | AL | TBD |
| I20220824003079 | I | Emergency Medicine | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 608 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 168 | 158 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 96 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 79 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 54 | 51 | $0 |
Insurance plans in this area (ZIP 30344)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Family Practice | GA | |
| Family Practice, Emergency Medicine, Internal Medicine | GA | |
| Emergency Medicine | LA | |
| Emergency Medicine | NJ | |
| Emergency Medicine | GA | |
| Internal Medicine, Emergency Medicine, Emergency Medicine, Hospitalist, Hospitalist | TX | |
| Emergency Medicine | GA |
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