Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Adebayo Adetomiwa, MD

Individual provider Pediatrics Physician · NPI 1902469752

Anthony Adebayo Adetomiwa, MD is a Pediatric Medicine in Moultrie, Georgia. Qualified in 2018, 8 years ago. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3131 S Main St
Moultrie, GA 31768-6925
Phone: (229) 891-9131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 92799 (GA)

Record details

NPI number1902469752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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