Active NPI
Olayemi Awosanya Bello, REGISTERED NURSE
- Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN266075
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144653502 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15955 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services G, LLC | Current | Accepting new patients | |
| Alpha Omega Staffing, LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | 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
- obello846589@direct.froedtert.com
- 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.
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
GA, Nurse Practitioner
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Nursing Care Agency
- Dacula, GA
- NPI 1558854562
-
- Durable Medical Equipment & Medical Supplies
- Blue Ridge, GA
- NPI 1629329792
-
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.