Individual provider Active NPI

Abidemi Adewoyin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1073261640
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5015998 Issued in NC
Practice address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone
(704) 939-1100
Fax
(704) 939-1173
NPI assigned
Mar 14, 2022
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5015998 NC Primary
Registered Nurse 163W00000X 247983 NC

Addresses

Primary practice location

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100

Other names 1

  • Abidemi Okeowo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220616000490 NC Practitioner - Nurse Practitioner 1355662032 Reassigns benefits to 2 organizations
I20250307003466 TX Practitioner - Nurse Practitioner 1355662032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

650 Highland Ave
Suite 100
Winston Salem, NC 27101-4304
Phone (336) 607-8523

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
247983NCMDRegistered Nurse
5015998NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health and Education Partners PLLC CurrentSince Sep 1, 2022 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince May 9, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince Mar 6, 2025 Accepting new patients
Quantum Consulting Group LLC CurrentSince May 12, 2025 Accepting new patients

Locations

1000 N 1st St
Ste 1
Albemarle, NC 28001
Phone (704) 983-2117

5306 NC Highway 55
Ste 1
Durham, NC 27713
Phone (919) 457-1517

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

940 W Lebanon St
Mount Airy, NC 27030
Phone (336) 783-6919

523 N US Highway 1
Ste C
Rockingham, NC 28379
Phone (910) 719-4335

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

913 N Carolina Ave
Statesville, NC 28677
Phone (704) 402-1060

32 W 32nd St
Winston Salem, NC 27105
Phone (336) 722-4000

650 Highland Ave
Ste 100
Winston Salem, NC 27101
Phone (866) 275-9552

650 Highland Ave
Ste 120
Winston Salem, NC 27101
Phone (336) 713-6111

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

3050 Post Oak Blvd
Ste 510
Houston, TX 77056
Phone (832) 482-9603

Interoperability endpoints

  • Direct secure messaging: abidemi.okeowo.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1073261640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWOYIN",
        "first_name": "ABIDEMI",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5015998",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "247983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIDEMI",
            "last_name": "OKEOWO",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.