AFUSAT OMOLARA ADEYEMI


Address: 50 Glenlake Pkwy Ste 200, Sandy Springs, GA 30328-3488
Phone: 8339172106

AFUSAT OMOLARA ADEYEMI (NPI# 1093126708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093126708
Entity Type Individual
Full Name AFUSAT OMOLARA ADEYEMI
Credential A-GNP
Practice Address 50 Glenlake Pkwy Ste 200
Sandy Springs
GA 30328-3488
Mailing Address 469 Corbin Oak Rdg
Grayson
GA 30017-7866
Practice Telephone 8339172106
Mailing Telephone 7705570041
Mailing Fax Number 6783536979
Enumeration Date 2014-05-15
Last Update Date 2020-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN202394 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN202394 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
367 Athens Hwy, Ste 1050, Loganville, GA 300522204 7705542999 6783536979

Office Location

Street Address 50 GLENLAKE PKWY STE 200
City SANDY SPRINGS
State GA
Zip Code 30328-3488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669006003 Rogers Behavioral Health Practice PC Clinic/Center 50 Glenlake Pkwy Ste 200, Sandy Springs, GA 30328-3488 2020-02-25
1700410131 Rogers Behavioral Health - Georgia Inc Clinic/Center 50 Glenlake Pkwy Ste 200, Sandy Springs, GA 30328-3488 2020-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467910042 Amber Andrews Behavior Technician 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 2019-03-04
1215492830 Ryan William Dubinin Behavior Technician 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 2019-02-07
1346710142 Emily Rose Lloyd Swavely Speech-Language Pathologist 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 2018-12-05
1063994481 Mark Edward Brachmanski Optometrist 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 2018-09-01
1407352578 Nina Brown Massage Therapist 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 2018-04-05
1336657741 Renee Usher Reeves Assistant Behavior Analyst 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 2018-01-19
1487168274 Patricia Nicole Felder Student in an Organized Health Care Education/Training Program 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 2017-12-01
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1770093601 Syed M Rasheed Physician Assistant 5788 Roswell Rd Ste 100, Atlanta, GA 30328 2017-10-05
1437678190 Jeanette Denise Jones Counselor 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 2017-09-13
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1336740398 Audline Maria Hodnett Nurse Practitioner 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 2020-11-05
1073111845 George Mackel, Pmhnp-bc, LLC Nurse Practitioner 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 2020-10-14
1356958060 Earl Delk Nurse Practitioner 3365 Ridgerock Way, Snellville, GA 30078-4176 2020-09-26
1609482991 Tammy Haskins Bailey Nurse Practitioner 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 2020-09-22
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1376156364 Katrina Ransom Clark Nurse Practitioner 120 Walker Dr Nw, Milledgeville, GA 31061-9561 2020-08-28
1457963746 Evelyn Ahiante Dennis Nurse Practitioner 3325 Emden Ct, Snellville, GA 30039-6047 2020-08-19
1194335620 Jennifer Logan Nurse Practitioner 424 Scotts Way, Augusta, GA 30909-3135 2020-08-10
1750991592 Jamie Rae Mccracken Nurse Practitioner 2538 Gordon Cir Se, Smyrna, GA 30080-8123 2020-08-06
1285244608 Amcare Substance Abuse and Addiction Counseling Nurse Practitioner 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 2020-08-01
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Competitor

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City SANDY SPRINGS
Zip Code 30328

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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