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

Dr. Wasiu Femi Adisa, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962602599

Dr. Wasiu Femi Adisa, DO is an Internal Medicine in Fayetteville, Georgia. Qualified in 2007, 19 years ago. Practices with Sandy Creek Emergency Group, PC, a 44-clinician group and accepts Medicare assignment. Licensed in Georgia and New Jersey.

Years since qualifying
19
Licensed in
GA, NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-6911
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 67525 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NJ)

Record details

NPI number1962602599
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 22, 2007
Last updated in NPPESFebruary 2, 2017

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sandy Creek Emergency Group, Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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