Olubukola Badejoh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020130034 Issued in GA

Practice address

3144 Ashwood Grove Park
Snellville, GA 30078-2954

Phone

(404) 983-1665

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1457018012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 ASHWOOD GROVE PARK",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782954",
            "telephone_number": "404-983-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 ASHWOOD GROVE PARK",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782954",
            "telephone_number": "404-983-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEJOH",
        "first_name": "OLUBUKOLA",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2020130034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishnaveni Ayyagari, NP
• Bacchus Private Home Care LLC
• Badar H Syed MD, PC
• Rose Benigna Badaruddin, M.D.
• Syed S Badaruddin, PA-C
• Aslhy Baez Olea, RBT
• Kyra Tate Bagby
• Zerill Costanilla Baguio, OT
• Joshua Bailey, RBT
• Adeja Mari Baker Hankins

• Family Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.