Titilola Olaide Adeboye, CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI 1811536386 · NPPES record last updated Dec 17, 2022
Key facts
- NPI
- 1811536386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN240745 (GA)
- Practice address
- 1000 Johnson Ferry Rd
Atlanta, GA 30342-1606 - Phone
- (404) 851-8000
- Fax
- (404) 303-3759
- NPI assigned
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Professional Services LLC
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
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 |
|---|---|---|---|---|
| I20230117000320 | GA | Practitioner - Nurse Practitioner | 2668843350 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Current |
Accepting new patients | |
| Bel Healthcare | Psychiatric/Mental Health | Current |
Accepting new patients |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN240745 | GA | Yes |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Mailing address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://mail.google.com/mail/u/1/#inbox |
Other providers in Atlanta, GA
- Addys Cabanas PC
- Monsurat Modpe Adebayo
- Rasaki Adebisi
- Aderonke Adeboye
- Nimota A Adeboye
- Adesola Bosede Adedapo Okoror
- Oluwatoyin Adedapo-Jimoh
- Kwesi Adedeji Watson
- Bolanle Olubunmi Adedokun
- Adedamola Ayoola Adedoyin
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 Dec 17, 2022. 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.