DR. ADEBOLA ADEKUNLE ADEOGUN (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1710939194
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
Loading map...
Provider Addresses for DR. ADEBOLA ADEKUNLE ADEOGUN (MD)
The Phoenix, Broad Street Plaza, Five Points, Atlanta, Fulton County, Georgia, 30303, United States
SUITE 100
ATLANTA, GA 303495591
Phone: (770) 994-9326
Fax: (770) 994-4747
Type: Mailing
Coliseum Northside Hospital, 400, Charter Boulevard, Country Club Estates, Macon, Bibb County, Georgia, 31210, United States
MACON, GA 312104831
Phone: (770) 994-9326
Fax: (770) 994-4747
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Janssen Biotech, Inc. ($24).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $24 |
| Abbott Laboratories | $20 |
| Boston Scientific Corporation | $19 |
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: 2004-04-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040415000666 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 103 | 97 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 96 | 91 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 33 | 33 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 30349)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | SC | |
| Nurse Practitioner | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| Nurse Practitioner | SC | |
| Emergency Medicine | FL | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management, Anesthesiology, Pain Management | GA | |
| - | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.