P Praxis·MD
● Active Type 1 · Individual

Gani Adeboye

Radiologic Technologist·College Park, GA· NPI 1780089375 · Enumerated 2014 · 11 years on NPI
Adeboye is 1 of 1 radiologic technologist providers in College Park and 1 of 35 in Georgia.
NPI age
11 years
Enumerated 2014-10-26
Primary specialty
Radiologic Technologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2014-10-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 35 active radiologic technologist providers in Georgia.

NPI age
11 years
≈ at median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-10Enumerated in NPPES
2014 2026

Where they practice

Practice location
4854 Old National Hwy, Suite 172
College Park, GA 303376221
📞 4042289544
Mailing address
11980 Olmstead Dr
Fayetteville, GA 302156687
📞 6788863821fax 4049359636

Specialties

  • Radiologic Technologist Primary
    A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
    taxonomy 247100000X

Practice context

Part of a multi-provider practice. 3 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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