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

Ismailu O Agbaje, PHDMD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1336190776

Ismailu O Agbaje, PHDMD is a Physical Medicine and Rehabilitation in Newnan, Georgia. Graduated from Medical College of Wisconsin in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
Medical College of Wisconsin
Licensed in
GA
In the registry since
2006

Practice location Address checks out

2101 Newnan Crossing Blvd E
Newnan, GA 30265-2406
Phone: (812) 272-4497
Fax: (419) 828-8218
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 72872 (GA)

Record details

NPI number1336190776
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDMD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newnan