Adekemi Alexandra Alagbe
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI 1639966567 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1639966567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN298383 (GA)
- Practice address
- 80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050 - Phone
- (404) 616-5151
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
125 Habersham Dr C
Fayetteville, GA 30214-1382
685 Pathwood LN
Stockbridge, GA 30281-7788
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 |
|---|---|---|---|---|
| I20251031002710 | GA | Practitioner - Nurse Practitioner | 8921597600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN298383 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP70008284 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Wellness | Current |
Accepting new patients |
Locations
125 Habersham Dr
Ste C
Fayetteville, GA 30214
Phone (404) 246-6929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP70008284 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN298383 | GA | Yes |
Addresses
Primary practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Mailing address
685 Pathwood LN
Stockbridge, GA 30281-7788
Phone (404) 246-6929
Other providers in Atlanta, GA
- Aiman Al-Sheikh
- Alabama Imaging Solutions, P.C.
- Ayomide Alabi
- Olamide Alabi
- Eshika Alagala
- Ganiat Rinuola Alakiu
- Armando Alam-Gonzalez
- Sumaiya Alam
- Alamo Health Group, LLC
- Alan K. Cu Chiam MDPC
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 Oct 15, 2025. 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.