Bola Falegan, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN150603 Issued in GA

Practice address

7028 Highway 85
Riverdale, GA 30274-2946

Phone

(470) 444-3136

Fax

(470) 298-7730

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health of Georgia PCGroup PAC ID 0345658647, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1a399bfe-f78b-4bd3-b22b-301d9fc9736a/

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.

• Oak Street Health of Georgia PC

  • Primary Care Clinic/Center
  • Stone Mountain, GA
  • NPI 1588258024

  Family

  Medicare reassignment Care Compare group NPD
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)
• Aylo Health, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Stockbridge, GA
  • NPI 1922831445
  NPD (past)
• Qcpi-Villagemd, PC

  dba Village Medical

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432
  NPD (past)
• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  NPD (past)

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1609373919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742946",
            "telephone_number": "470-444-3136",
            "fax_number": "470-298-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1058 Bear Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302281849",
            "country_code": "US",
            "telephone_number": "770-914-0116",
            "fax_number": "770-955-4278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3088 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303444566",
            "country_code": "US",
            "telephone_number": "470-444-3135",
            "fax_number": "404-777-9366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 Gordon Hwy Ste 17A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309062229",
            "country_code": "US",
            "telephone_number": "706-230-7006",
            "fax_number": "762-257-7442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Rockbridge Rd Ste 15B",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873306",
            "country_code": "US",
            "telephone_number": "470-444-3134",
            "fax_number": "470-276-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 Moreland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303163183",
            "country_code": "US",
            "telephone_number": "470-444-3137",
            "fax_number": "470-202-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2732 Candler Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300341410",
            "country_code": "US",
            "telephone_number": "470-444-3133",
            "fax_number": "470-276-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S Marietta Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300602748",
            "country_code": "US",
            "telephone_number": "470-377-7228",
            "fax_number": "470-467-7583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Cascade Ave SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303102404",
            "country_code": "US",
            "telephone_number": "470-444-3143",
            "fax_number": "470-467-7469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALEGAN",
        "first_name": "BOLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN150603",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "219654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F & M Family Eyecare, LLC
• F&M Medical and Healthcare Services
• Olatunji Emmanuel Fadiora
• Ayman Ahmed Faiz Cassim, MD
• Erika Lea Fajman, PT, DPT
• Famcare in Home Health
• Family Dental, PC
• Family Matters Safe Haven
• Evelyn Omowunmi Fatoye, M.D.
• Tabreeka M Faulkner, RN

• Family Nurse Practitioner in Riverdale, GA
• Providers in Riverdale, 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 Oct 31, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.