Individual provider Active NPI

Tolulope Arowosegbe, NP

  • Nurse Practitioner
  • Loganville, GA
National Provider Identifier
1174283386
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN304428 Issued in GA
Practice address
4398 Atlanta Hwy
Loganville, GA 30052-7314
Phone
(404) 948-3019
NPI assigned
Dec 29, 2021
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 RN304428 GA Primary
Family Medicine Physician 207Q00000X RN304428 GA

Addresses

Primary practice location

4398 Atlanta Hwy
Loganville, GA 30052-7314

Mailing address

1405 Breton Hunt LN
Suwanee, GA 30024-3871
Phone (718) 813-1462

Other practice location 1

583 Highland Xing
Ellijay, GA 30540-6401
Phone (706) 273-2607

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126000570 GA Practitioner - Nurse Practitioner 8729470646 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

149 Clairemont Ave
Decatur, GA 30030-2502
Phone (678) 369-7935

2900 Peachtree Rd NW
Suite 301
Atlanta, GA 30305-2193
Phone (470) 730-4747

3320 Hamilton Mill Rd
Buford, GA 30519-4005
Phone (844) 315-9666

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN304428GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Raisig Clinic and Wellness Center Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Sep 6, 2023 Accepting new patients
Capital Healthcare PC CurrentSince Jun 17, 2023 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients
Piedmont Medical Care Corporation Family Medicine Past Accepting new patients

Locations

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

61 Highland Ct
Ste 101
Ellijay, GA 30540
Phone (706) 698-3627

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

4398 Atlanta Hwy
Loganville, GA 30052
Phone (678) 639-0213

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

Interoperability endpoints

  • Direct secure messaging: tolulope.arowosegbe.1@33029.direct.athenahealth.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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1174283386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 BRETON HUNT LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243871",
            "telephone_number": "718-813-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4398 ATLANTA HWY",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527314",
            "telephone_number": "404-948-3019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "583 Highland Xing",
            "address_purpose": "LOCATION",
            "city": "Ellijay",
            "state": "GA",
            "postal_code": "305406401",
            "country_code": "US",
            "telephone_number": "706-273-2607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AROWOSEGBE",
        "first_name": "TOLULOPE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN304428",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN304428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.