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

Dr. Anthony Adetola Odubanjo, MD

Individual provider Internal Medicine Physician · NPI 1659786754

Dr. Anthony Adetola Odubanjo, MD is an Internal Medicine in Atlanta, Georgia. Qualified in 2008, 18 years ago. Practices with McLeod Health Clarendon, a 61-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Maine.

Years since qualifying
18
Licensed in
GA, ME
In the registry since
2014
Specialties on file
3
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

960 Johnson Ferry Rd Ste 500
Atlanta, GA 30342-1630
Phone: (404) 257-0006
Fax: (404) 851-1316
Show map & directions

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

Additional practice locations (2)

  • 3 Glen Cove Dr Ste 3, Rockport, ME 04856-4232 — (207) 301-5400
  • 1 Brookdale Plz, Brooklyn, NY 11212-3139 — (571) 201-9753

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 86557 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD22279 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659786754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2014
Last updated in NPPESJuly 2, 2022
Certification dateJuly 2, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice McLeod Health Clarendon — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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