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

Jillian Iyore Edosomwan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649700022

Jillian Iyore Edosomwan, MD is an Internal Medicine in Atlanta, Georgia. Qualified in 2017, 9 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
Specialties on file
2
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

303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone: (404) 265-6410
Show map & directions

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

Additional practice locations (1)

  • 677 Church St Ne Lowr Level, Marietta, GA 30060-1101 — (770) 793-5186

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 85770 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649700022
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESJuly 21, 2022
Certification dateOctober 1, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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