Individual provider Active NPI

Ololade Babarinde

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1225646813
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95016079 Issued in CA
Practice address
885 Woodstock Rd Ste 129
Roswell, GA 30075-2276
Phone
(404) 455-2959
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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 RN232905 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95016079 CA Primary

Addresses

Primary practice location

885 Woodstock Rd Ste 129
Roswell, GA 30075-2276

Mailing address

885 Woodstock Rd Ste 129
Roswell, GA 30075-2276
Phone (404) 455-2959

Other identifiers 2

IdentifierTypeStateIssuer
RN232905OtherGAGEORGIA BOARD OF NURSING
RN232905MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211130002637 FL Practitioner - Nurse Practitioner 4587054887
I20211201001568 GA Practitioner - Nurse Practitioner 4587054887 Reassigns benefits to 1 organization
I20231206000286 CA Practitioner - Nurse Practitioner 4587054887 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95016079CAMDPsychiatric/Mental Health Nurse Practitioner
RN232905GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
T H E Clinic Inc CurrentSince Nov 11, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Nov 2, 2023 Accepting new patients
Bethel Psychiatric Services Inc Current Accepting new patients
Hni Medical Services of Georgia, LLC CurrentSince Nov 15, 2021 Accepting new patients
Clinica Sierra Vista CurrentSince Nov 2, 2023 Accepting new patients
Hni Medical Services of Florida, LLC Psychiatric/Mental Health CurrentSince Dec 1, 2021 Accepting new patients

Locations

1945 N Fine Ave
Ste 100
Fresno, CA 93727
Phone (559) 457-5650

1685 E Home Ave
Fresno, CA 93728
Phone (559) 457-6900

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

3834 S Western Ave
Los Angeles, CA 90062
Phone (323) 730-1920

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

223 Medical Center Dr
Riverdale, GA 30274
Phone (770) 692-3554

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1225646813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD STE 129",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752276",
            "telephone_number": "404-455-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD STE 129",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752276",
            "telephone_number": "404-455-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABARINDE",
        "first_name": "OLOLADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN232905",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95016079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF NURSING",
            "identifier": "RN232905",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN232905",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.