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

Dr. Ajibola Abidemi Babatunde

Individual provider Family Medicine Physician · NPI 1629573936

Dr. Ajibola Abidemi Babatunde is a Family Practice in Acworth, Georgia. Qualified in 2018, 8 years ago. Practices with Summit Hospitalist Group LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Georgia, New Jersey and Wyoming.

Years since qualifying
8
Licensed in
GA, NJ, WY
In the registry since
2018
Specialties on file
5
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Practice location Address checks out

6380 Bells Ferry Rd Ste 107
Acworth, GA 30102-5435
Phone: (678) 702-4488
Fax: (678) 285-5598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence 91068 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14722A (WY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 91068 (GA)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 25MA11151100 (NJ)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 91068 (GA)

Record details

NPI number1629573936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2018
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summit Hospitalist Group Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Acworth