Evergreen Mobile Primary Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EVERGREEN MOBILE PRIMARY CARE LLC

Practice address

4485 Tench Rd Ste 1020
Suwanee, GA 30024-6741

Phone

(770) 265-0864

Fax

(770) 264-1879

NPI assigned

Apr 13, 2026

Organization subpart

No

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

Authorized official

Name

Oluseun Ayodele Babatunde, FNP-BCNPI 1649124793

Title

Managing Member

Phone

(770) 265-0864

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluseun Ayodele Babatunde, APRN, FNP-BC

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1649124793
  NPD Authorized official

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1083557268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 WISTERIA DR STE 200-1154",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783798",
            "telephone_number": "770-265-0864",
            "fax_number": "770-264-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 TENCH RD STE 1020",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246741",
            "telephone_number": "770-265-0864",
            "fax_number": "770-264-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MOBILE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "BABATUNDE",
        "authorized_official_first_name": "OLUSEUN",
        "authorized_official_middle_name": "AYODELE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-265-0864",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paul Evans, DO
• Expectingeats LLC
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• Eyez, Inc. (Suwanee Vision Center)
• Colleen Ann Eyre, OTR/L CLT LANA

• Family Nurse Practitioner in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.