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

Peter Bodunrin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790363596

Peter Bodunrin is an Ophthalmology in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2021, 5 years ago. Practices with Keller, Crymes, and Demarco LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone: (404) 778-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 105622 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790363596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2021
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Keller, Crymes, And Demarco Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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