Adesola Bosede Adedapo Okoror, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI 1407708233 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1407708233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN-NP333370 (GA)
- Practice address
- 5454 Yorktowne Dr
Atlanta, GA 30349-5317 - Phone
- (217) 741-8933
- NPI assigned
- Feb 12, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5454 Yorktowne Dr
Atlanta, GA 30349-5317
5757 N Dixie Hwy
Oakland Park, FL 33334
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 |
|---|---|---|---|---|
| I20260626001695 | GA | Practitioner - Nurse Practitioner | 0244703627 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP333370 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-NP333370 | GA | Yes |
Addresses
Primary practice location
5454 Yorktowne Dr
Atlanta, GA 30349-5317
Mailing address
5454 Yorktowne Dr
Atlanta, GA 30349-5317
Phone (678) 251-3200
Other providers in Atlanta, GA
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- Titilola Olaide Adeboye
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- Kwesi Adedeji Watson
- Bolanle Olubunmi Adedokun
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All providers in Atlanta, 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 12, 2026. 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.