Individual provider Active NPI

Ibijoke Olubunmi Solanke, DNP, FNP-BC

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1831677582
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN189463 Issued in GA
Practice address
70 Whitlock PL SW Ste 100
Marietta, GA 30064-3155
Phone
(470) 604-9800
Fax
(470) 604-9900
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN189463 GA Primary

Addresses

Primary practice location

70 Whitlock PL SW Ste 100
Marietta, GA 30064-3155

Mailing address

3936 Hemingway Dr
Powder Springs, GA 30127-5094

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201228001383 GA Practitioner - Nurse Practitioner 1658657549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

70 Whitlock PL SW
Suite 100
Marietta, GA 30064-3155
Phone (470) 604-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN189463GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everything Wellness LLC CurrentSince Apr 24, 2022 Accepting new patients
Charis Healthcare LLC CurrentSince Dec 19, 2020 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Feb 14, 2024 Accepting new patients

Locations

70 Whitlock Pl SW
Ste 100
Marietta, GA 30064
Phone (404) 494-0201

2365 Powder Springs Rd SW
Ste 1103
Marietta, GA 30064
Phone (470) 604-9800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1831677582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 HEMINGWAY DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WHITLOCK PL SW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643155",
            "telephone_number": "470-604-9800",
            "fax_number": "470-604-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANKE",
        "first_name": "IBIJOKE",
        "middle_name": "OLUBUNMI",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.