Active NPI
Kafilat Olajmoke Salawu, NP-C
- Nurse Practitioner
- Alpharetta, GA
National Provider Identifier
1053749796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN210374
- Practice address
- 3330 Preston Ridge Rd
Suite 110
Alpharetta, GA 30005-4508 - Phone
- (678) 566-6995
- Fax
- (678) 566-0346
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN210374 | GA | Primary |
Addresses
Primary practice location
3330 Preston Ridge Rd
Suite 110
Alpharetta, GA 30005-4508
Mailing address
1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (678) 566-6995
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003114186C | Medicaid | GA | |
| 003114186B | Medicaid | GA | |
| 202I507385 | Other | GA | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kafilat.salawunp.p1@direct.gacancer.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services a LLC | Current | Accepting new patients | |
| Minuteclinic LLC | Nurse Practitioner | Current | Accepting new patients |
| Fides Health Advocates, LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services a LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients | |
| Fides Healthcare Management and Consulting, LLC | Past | Accepting new patients | |
| Northside Imaging LLC | Past | Accepting new patients |
Locations
1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260
1505 Northside Blvd
Ste 4600
Cumming, GA 30041
Phone (770) 205-5292
5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
Interoperability endpoints
- kafilat.salawunp.p1@direct.gacancer.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1215288378
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- Community Health Worker
- Atlanta, GA
- NPI 1376302323
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
- Primary Care Nurse Practitioner
- Atlanta, GA
- NPI 1023877339
-
- Durable Medical Equipment & Medical Supplies
- Decatur, GA
- NPI 1750631792
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
-
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1124379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1053749796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411072",
"telephone_number": "678-566-6995",
"fax_number": "678-566-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 PRESTON RIDGE RD",
"address_2": "SUITE 110",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054508",
"telephone_number": "678-566-6995",
"fax_number": "678-566-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAWU",
"first_name": "KAFILAT",
"middle_name": "OLAJMOKE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN210374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003114186C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003114186B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I507385",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kafilat.salawunp.p1@direct.gacancer.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "3330 Preston Ridge Rd",
"address_2": "Suite 110",
"city": "Alpharetta",
"state": "GA",
"country_code": "US",
"postal_code": "300054508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.