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.

Provyx · Custom healthcare lists

Need all 35 Radiologic Technologist providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

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.

Related