P Praxis·MD
● Active Type 1 · Individual

DR. Anthony Adetola Odubanjo, M.D.

Internal Medicine·Atlanta, GA· NPI 1659786754 · Enumerated 2014 · 11 years on NPI
Odubanjo is 1 of 53 internal medicine providers in Atlanta and 1 of 221 in Georgia.
NPI age
11 years
Enumerated 2014-06-26
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, ME
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 221 active internal medicine providers in Georgia.

NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
2 states
Top 61% — 38% of peers are multi-state
Subspecialties
2
In the 81% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
960 Johnson Ferry Rd Ste 500
Atlanta, GA 303421630
📞 4042570006fax 4048511316
Mailing address
960 Johnson Ferry Rd Ste 500
Atlanta, GA 303421630
📞 4042570006fax 4048511316

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1 Brookdale Plz
Brooklyn, NY 112123139
📞 5712019753
Location 3
3 Glen Cove Dr Ste 3
Rockport, ME 048564232
📞 2073015400fax 2073015301

Specialties

  • Internal Medicine Primary
    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
    GA license #86557 taxonomy 207RC0200X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    ME license #MD22279 taxonomy 207R00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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