Deborah Adebisi, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Gainesville, GA
NPI 1356040489 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1356040489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 240041 (GA)
- Practice address
- 200 Wisteria Dr
Gainesville, GA 30501-3827 - Phone
- (770) 219-3800
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Professional Services LLC
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 255-7500
Hospital & facility affiliations
- Northside Hospital Duluth
- Northside Hospital Gwinnett
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230526001647 | GA | Practitioner - Nurse Practitioner | 5294192704 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240041 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Current |
Accepting new patients | |
| Assist N More LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Northeast Georgia Physicians Group Inc | Current |
Accepting new patients |
Locations
3300 Hamilton Mill Rd
Buford, GA 30519
Phone (770) 614-1086
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
200 Wisteria Dr
Gainesville, GA 30501
Phone (770) 219-3800
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 240041 | GA | Yes |
Addresses
Primary practice location
200 Wisteria Dr
Gainesville, GA 30501-3827
Mailing address
88 Whistling Dr
Jefferson, GA 30549-1109
Phone (770) 837-4132
Other providers in Gainesville, GA
- Jennifer Adamski
- John H Adamski II
- David Richards Adamson
- Joanna Lynn Addison
- Jolaade Adebayo
- Jee Young Adelaar
- Bradee Burrell Aderholt
- Adeoluwa Emmanuel Adewuyi
- Santhi Adigopula
- Keith D Adkins
All providers in Gainesville, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.