AYODELE ADEGUNWA


Address: 250 Bray Street, Athens, GA 30601-2244
Phone: 7063896767

AYODELE ADEGUNWA (NPI# 1912529025) 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) 1912529025
Entity Type Individual
Full Name AYODELE ADEGUNWA
Credential LPN
Practice Address 250 Bray Street
Athens
GA 30601-2244
Mailing Address 2526 Briar Valley Way
Dacula
GA 30019-7515
Practice Telephone 7063896767
Enumeration Date 2020-05-12
Last Update Date 2020-05-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 164W00000X Licensed Practical Nurse 26NP05001700 NJ Nursing Service Providers
Y 164W00000X Licensed Practical Nurse LPN071336 GA Nursing Service Providers

Office Location

Street Address 250 BRAY STREET
City ATHENS
State GA
Zip Code 30601-2244

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447682083 Brittany Lynn Lowery Counselor 250 Bray Street, Athens, GA 30601 2013-08-06
1588270664 Jennifer Erin Jordan Registered Nurse 250 Bray Street, Athens, GA 30601-2244 2020-09-23
1659998722 Amabel Sarmiento Acosta Registered Nurse 250 Bray Street, Athens, GA 30601-2244 2020-07-06
1154947182 Mary Debra Casterline Licensed Practical Nurse 250 Bray Street, Athens, GA 30601-2244 2020-06-25
1558986430 Melinda Howson Registered Nurse 250 Bray Street, Athens, GA 30601-2244 2020-06-16
1487277661 Sara C Gartner Social Worker 250 Bray Street, Athens, GA 30601 2020-05-22
1891318333 Michelle Cathleen Whatley Registered Nurse 250 Bray Street, Athens, GA 30601 2020-05-19
1801418876 Anna Story Social Worker 250 Bray Street, Athens, GA 30601-2244 2020-05-13
1285098780 Denise West Counselor 250 Bray Street, Athens, GA 30601-2244 2016-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154971679 Classic City Counseling & Consultation LLC Psychologist 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 2019-09-17
1982172433 Smith Dental Care of Athens Inc. Clinic/Center 801 Us Highway 29 North, Athens, GA 30601 2018-11-02
1356865935 Elizabeth Anne Price Pharmacist 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 2017-07-26
1386011575 Janna Barham Cleveland Nurse Practitioner 496 Reese Street, Athens, GA 30601 2015-08-24
1295113769 Brent Dillin Temple Case Manager/Care Coordinator 9249 Highway 29 North, Athens, GA 30601 2015-05-15
1356736417 Brett Magner Family Medicine 855 W Broad St Ste 1, Athens, GA 30601 2015-04-05
1619397478 The Kroger Co Durable Medical Equipment & Medical Supplies 700 Highway 29 N, Athens, GA 30601 2014-04-21
1972921021 Issa Papiss Bagayogo Psychiatry & Neurology 297 Prince Avenue Suite 28a, Athens, GA 30601 2014-04-04
1417194135 Carey Kirk Counselor 295 Mles St, Athens, GA 30601 2009-01-16
1275751448 Athens Neighborhood Health Center Inc Clinic/Center 402 Mckinley Drive, Athens, GA 30601 2007-04-23
Find all providers in zip 30601

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952926560 Joanna I Griffin Licensed Practical Nurse 115 Laurel Dr, Athens, GA 30606-1640 2020-06-09
1831712363 Rebecca John Licensed Practical Nurse 240 Mitchel Bridge Road, Athens, GA 30606 2020-05-19
1225538994 Donna Gayle Howard Licensed Practical Nurse 806 Bradley Dr, Athens, TX 75751-2949 2018-02-19
1023549276 Cynthia Mcwilliams Licensed Practical Nurse 27436 Ed Ray Rd, Athens, AL 35613-5510 2017-03-21
1740572627 Julie Alayne Gladney Licensed Practical Nurse 217 Columbus Rd Ste 105, Athens, OH 45701-1393 2011-05-10
1750515169 Roycia Bell Ross Licensed Practical Nurse 200 Sycamore Dr Apt 111, Athens, GA 30606-3424 2009-05-13
1083830665 Paula A Newman Licensed Practical Nurse 9036 Salem Rd, Athens, OH 45701-8923 2007-04-18
1629108956 Janet Smith Prior Licensed Practical Nurse 740 Prince Ave Ste 15, Athens, GA 30606-5903 2007-03-06
1154947182 Mary Debra Casterline Licensed Practical Nurse 250 Bray Street, Athens, GA 30601-2244 2020-06-25
1912520933 Doneille Michell Webster Licensed Practical Nurse 240 Mitchell Bridge Rd, Athens, GA 30606-2043 2020-05-26
Find all providers in ATHENS

Competitor

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City ATHENS
Zip Code 30601

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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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