Individual provider Active NPI

Oghaleoghene Kolo, NP

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1467916882
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP230117 Issued in GA
Practice address
3250 Franklin St
Austell, GA 30106-3853
Phone
(678) 520-4179
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 APRN-NP230117 GA Primary

Addresses

Primary practice location

3250 Franklin St
Austell, GA 30106-3853

Mailing address

3250 Franklin St
Austell, GA 30106-3853
Phone (678) 520-4179

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
I20210308001804 GA Practitioner - Nurse Practitioner 5496161960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Spatium Urgent Care LLCGroup PAC ID 5294141941, 3 clinicians

Practice addresses (Care Compare)

1155 Concord Rd SE
Suite 200
Smyrna, GA 30080-4255
Phone (678) 600-5137

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2520 N Decatur Rd
Decatur, GA 30033-6117
Phone (678) 685-8100

3345 Cobb Pkwy NW
Suite 800
Acworth, GA 30101-8346
Phone (678) 919-7200

3595 Canton Rd
Suite 314
Marietta, GA 30066-2693
Phone (678) 932-2121

3999 Austell Rd
Suite 901
Austell, GA 30106-1160
Phone (770) 809-3032

500 Nathan Dean Blvd
Suite 105
Dallas, GA 30157-4911
Phone (470) 624-6793

5749 Wendy Bagwell Pkwy
Hiram, GA 30141-2815
Phone (470) 523-4130

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP230117GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spatium Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Dawn Primary Care CurrentSince Jun 4, 2025 Accepting new patients
Wellstreet of Georgia PC CurrentSince Nov 1, 2022 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3595 Canton Rd
Ste 316
Marietta, GA 30066
Phone (678) 932-2121

3595 Canton Rd
Ste 314
Marietta, GA 30066
Phone (678) 932-2121

Organizations & group practices 3

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1467916882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 FRANKLIN ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301063853",
            "telephone_number": "678-520-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 FRANKLIN ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301063853",
            "telephone_number": "678-520-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLO",
        "first_name": "OGHALEOGHENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP230117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.