Individual provider Active NPI

Anyinke Atabong, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1316359771
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R185465 Issued in MD
Practice address
799 Rockville Pike
Rockville, MD 20852-1136
Phone
(866) 389-2727
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R185465 MD Primary

Addresses

Primary practice location

799 Rockville Pike
Rockville, MD 20852-1136

Mailing address

3235 Purple Leaf LN
Laurel, MD 20724-6132

Other practice location 1

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20140815000869 MD Practitioner - Nurse Practitioner 3476770488 Reassigns benefits to 2 organizations
I20140815001017 DC Practitioner - Nurse Practitioner 3476770488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JMJ Health Care Services LLCGroup PAC ID 1355596040, 2 clinicians

Practice addresses (Care Compare)

2411 Crofton LN
Suite 4a
Crofton, MD 21114-1337
Phone (667) 307-4173

6911 Laurel Bowie Rd
Suite 209
Bowie, MD 20715-1712
Phone (240) 206-8345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R185465MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JMJ Health Care Services LLC CurrentSince Apr 3, 2019 Accepting new patients
Axis Healthcare Group CurrentSince Mar 1, 2025 Accepting new patients
Capital Multi Health Group, Inc Psychiatric/Mental Health CurrentSince Nov 1, 2019 Accepting new patients
JMJ Health Care Services, LLC PastSince Feb 11, 2024 Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

6911 Laurel Bowie Rd
Ste 209
Bowie, MD 20715
Phone (240) 206-8345

2411 Crofton Ln
Ste 4A
Crofton, MD 21114
Phone (667) 307-4173

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207

Organizations & group practices 4

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1316359771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 PURPLE LEAF LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207246132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521136",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104959",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATABONG",
        "first_name": "ANYINKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.