Individual provider Active NPI

Olayemi Awosanya Bello, REGISTERED NURSE

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1144653502
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN266075 Issued in GA
Practice address
125 King Ave Ste 200
Athens, GA 30606-6710
Phone
(706) 369-4478
Fax
(706) 353-6639
NPI assigned
Aug 20, 2013
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN266075 GA Primary
Nurse Practitioner 363L00000X 15955 WI

Addresses

Primary practice location

125 King Ave Ste 200
Athens, GA 30606-6710

Mailing address

2655 Daniel Park Run
Dacula, GA 30019-7823
Phone (920) 268-5215

Other practice location 1

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (144) 805-0505

Other identifiers 1

IdentifierTypeStateIssuer
1144653502MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, GA2 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
I20241115001599 WI Practitioner - Nurse Practitioner 5395279152 Reassigns benefits to 1 organization
I20241211001892 GA Practitioner - Nurse Practitioner 5395279152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 King Ave
Suite 200
Athens, GA 30606-6710
Phone (706) 369-4478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15955WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Aug 1, 2025 Accepting new patients
Alpha Omega Staffing, LLC CurrentSince Apr 1, 2024 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Aug 1, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Nov 26, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 29, 2024 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Past Accepting new patients

Locations

125 King Ave
Ste 200
Athens, GA 30606
Phone (706) 369-4478

1000 Cowles Clinic Way
Ste M-200
Greensboro, GA 30642
Phone (706) 454-0159

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: obello846589@direct.froedtert.com
  • Direct secure messaging: olayemi.belloagacnpbc.p1@direct.gacancer.nextgenshare.com

Organizations & group practices 6

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1144653502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 DANIEL PARK RUN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197823",
            "telephone_number": "920-268-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KING AVE STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066710",
            "telephone_number": "706-369-4478",
            "fax_number": "706-353-6639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "144-805-0505",
            "fax_number": "414-955-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLO",
        "first_name": "OLAYEMI",
        "middle_name": "AWOSANYA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN266075",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "15955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144653502",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.