Individual provider Active NPI

Ikeade Bello Alamu, NP-C

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1285013714
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0415257 Issued in GA
Practice address
2790 Sandy Plains Rd Ste 202
Marietta, GA 30066-4377
Phone
(678) 777-4336
NPI assigned
May 29, 2015
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0415257 GA Primary

Addresses

Primary practice location

2790 Sandy Plains Rd Ste 202
Marietta, GA 30066-4377

Mailing address

2790 Sandy Plains Rd Ste 202
Marietta, GA 30066-4377
Phone (678) 777-4336

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
I20151029002174 GA Practitioner - Nurse Practitioner 1658681846 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adexbra Healthcare LLCGroup PAC ID 7618404641, 3 clinicians

Practice addresses (Care Compare)

6575 Spring St
Douglasville, GA 30134-1890
Phone (708) 517-0518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0415257GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kays Urgent Care Clinic LLC CurrentSince Sep 6, 2025 Accepting new patients
Adexbra Healthcare LLC CurrentSince May 30, 2025 Accepting new patients
Advanced Pro Wound Care LLC Family CurrentSince Sep 6, 2025 Accepting new patients
GCMD Medical Centers LLC CurrentSince Dec 1, 2024 Accepting new patients
Entirety Healthcare LLC CurrentSince Jan 15, 2026 Accepting new patients

Locations

107 Westward Dr
Unit 661112
Miami Springs, FL 33266

6675 E SPG St
Douglassville, GA 30134
Phone (678) 549-2323

6675 E SPG St
Douglassville, GA 30134
Phone (678) 549-2323

6575 Spring St
Douglasville, GA 30134
Phone (678) 549-2323

2790 Sandy Plains Rd
Ste 202
Marietta, GA 30066
Phone (470) 785-7122

4171 Marietta St
Ste 300A
Powder Springs, GA 30127
Phone (678) 549-2323

1000 Wyngate Pkwy
Ste 210
Woodstock, GA 30189
Phone (678) 384-7305

Organizations & group practices 5

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1285013714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664377",
            "telephone_number": "678-777-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664377",
            "telephone_number": "678-777-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMU",
        "first_name": "IKEADE",
        "middle_name": "BELLO",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F0415257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.