Idara Inokon Ajala

Key facts

NPI

1740826643

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

GAA-NP001676 (GA)

Practice address

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Phone

(866) 389-2727

NPI assigned

Nov 26, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 10

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.

• Medical Group of New York, P.C. Family Nurse Practitioner · Eastchester, NY · NPI 1487983516
  Medicare reassignment Care Compare group NPD FAMILY · NY
• Minuteclinic Diagnostic of New Jersey LLC Family Nurse Practitioner · Sewell, NJ · NPI 1053353615
  Medicare reassignment Care Compare group NPD FAMILY · NJ
• Minuteclinic Diagnostic of North Carolina PC Family Nurse Practitioner · Raleigh, NC · NPI 1699748608
  Medicare reassignment Care Compare group NPD FAMILY · NC
• Minuteclinic Diagnostic of Tennessee PC Family Nurse Practitioner · Nashville, TN · NPI 1457323164
  Medicare reassignment Care Compare group NPD FAMILY · TN
• Minuteclinic LLC Family Nurse Practitioner · Rockville, MD · NPI 1134191836
  Medicare reassignment Care Compare group GA
• Hightower Behavioral Health Psychiatric/Mental Health Nurse Practitioner · Glen Burnie, MD · NPI 1972140069
  Medicare reassignment NPD MD · PSYCHIATRIC/MENTAL HEALTH
• Minuteclinic Diagnostic of Pennsylvania LLC Family Nurse Practitioner · Bryn Mawr, PA · NPI 1881738037
  Medicare reassignment NPD FAMILY · PA
• Minuteclinic Diagnostic of Wisconsin, LLC Family Nurse Practitioner · Milwaukee, WI · NPI 1346664216
  Medicare reassignment NPD FAMILY · WI
• Minuteclinic Diagnostic South Carolina LLC Family Nurse Practitioner · Simpsonville, SC · NPI 1447420815
  Medicare reassignment NPD FAMILY · SC
• Cloud Health Medical Group, P.a. Internal Medicine Physician · White Plains, NY · NPI 1528744935
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Group of New York PC (61 clinicians)
Minuteclinic Diagnostic of North Carolina PC (208 clinicians)
Minuteclinic LLC (576 clinicians)
Minuteclinic Diagnostic of New Jersey LLC (112 clinicians)
Minuteclinic Diagnostic of Tennessee PC (82 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (10 enrollments) in MD, NY, GA, SC, TN, WI, VA, NC, NJ, PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles (9 of 13)

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Specialties & licenses

Addresses

Other providers in Kennesaw, GA

• Yordanos Mesfin Agajyelleh, MD
• Megan Aguilar
• Aharmony Home Health
• Ostoureh Aieda Ahmadpour, PHARMD
• Aica Orthopedics, P. C.
• Sohail Akhtar, RPH
• Alana Recovery Centers LLC
• Alanie'S Personal Care Services LLC
• Ali Foot and Ankle LLC
• Sadia Mahmood Ali, DPM

All providers in Kennesaw, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia