Individual provider Active NPI

Dolapo O Abiodun, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1780076182
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN186519 Issued in GA
Practice address
1661 Tabor Dr
Marietta, GA 30062-2824
Phone
(678) 231-9721
NPI assigned
Feb 23, 2015
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN186519 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN186519 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP221403 ME

Addresses

Primary practice location

1661 Tabor Dr
Marietta, GA 30062-2824

Mailing address

1661 Tabor Dr
Marietta, GA 30062-2824
Phone (678) 231-9721

Other identifiers 1

IdentifierTypeStateIssuer
RN186519OtherGALICENSE

Other names 1

  • Dolapo Abiodun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715003276 GA Practitioner - Nurse Practitioner 1153723911 Reassigns benefits to 2 organizations
I20221013002454 ME Practitioner - Nurse Practitioner 1153723911 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

1200 Altmore Ave
Suite 200
Atlanta, GA 30342-2495
Phone (678) 426-2930

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN186519GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Brightside Medical of Michigan PC CurrentSince May 1, 2023 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients
Acadia Hospital Corp CurrentSince Dec 1, 2022 Accepting new patients
Taaf Concepts Inc Psychiatric/Mental Health CurrentSince Oct 5, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
Central Maine Medical Center Current Accepting new patients
Personal Recovery Network LLC CurrentSince Jun 9, 2021 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

1200 Altmore Ave
Ste 200
Sandy Springs, GA 30342
Phone (678) 426-2930

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1780076182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 TABOR DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622824",
            "telephone_number": "678-231-9721",
            "fax_number": "678-904-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 TABOR DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622824",
            "telephone_number": "678-231-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIODUN",
        "first_name": "DOLAPO",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN186519",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN186519",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP221403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN186519",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLAPO",
            "last_name": "ABIODUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.