Nimota A Adeboye (NPI# 1235108176, PAC ID# 6103169974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235108176 |
| PAC ID by PECOS | 6103169974 |
| Professional Enrollment ID | I20190517001403 |
| Full Name | Nimota A Adeboye |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
3886 Princeton Lakes Way Sw Atlanta GA 30331-5511 |
| Phone Number | 4045303060 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 | 4045303060 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Kaushang Gandhi | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 4441 Atlanta Rd Se, Suite 216, Smyrna, GA 30080-6537 |
| Street Address |
3886 PRINCETON LAKES WAY SW |
| City | ATLANTA |
| State | GA |
| Zip | 30331-5511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela N Evans | Family Medicine | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Lorenza A Simmons | Obstetrics/gynecology | Unified Women's Care of Georgia LLC | 3886 Princeton Lakes Way Sw, Suite 280, Atlanta, GA 30331-5511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara Brown | Internal Medicine | 5835 Cambellton Rd Sw, Atlanta, GA 30331 | |
| David W Tascarella | Psychiatry | Eye Listen Empowerment Center, LLC | 3201 Atlanta Industrial Pkwy Nw, Suite 302, Atlanta, GA 30331-1048 |
| George D Angelich | Clinical Social Worker | Eye Listen Empowerment Center, LLC | 3201 Atlanta Industrial Pkwy Nw, Suite 302, Atlanta, GA 30331-1048 |
| Cornelius C Grimes | Clinical Social Worker | 920 Dannon Vw Sw, Suite 3104, Atlanta, GA 30331-2157 | |
| Claudia Ayodele Davies Hodge | Nurse Practitioner | D L Murray Md PC | 920 Dannon Vw Sw, Suite 3103, Atlanta, GA 30331-2158 |
| Edith M Fresh | Psychologist, Clinical | 920 Dannon View Sw, Suite 3104, Atlanta, GA 30331-2158 | |
| Toniah Paryo | Nurse Practitioner | D L Murray Md PC | 920 Dannon Vw Sw, Suite 3103, Atlanta, GA 30331-2158 |
| Darrell Lee Murray Sr. | Family Medicine | D L Murray Md PC | 920 Dannon Vw Sw, Suite 3103, Atlanta, GA 30331-2158 |
| Sherra B Conde | Chiropractic | 1195 Fairburn Swrd, Suite 150, Atlanta, GA 30331-2162 | |
| Yvonne Ukwu | Internal Medicine | Piedmont Medical Care Corporation | 3699 Cascade Swrd, B2, Atlanta, GA 30331-2163 |
| Find all physicians in zip 30331 | |||
| City | ATLANTA |
| Zip Code | 30331 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ATLANTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nimota A Adeboye.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.