Bamidele Odede, NP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN213970 Issued in GA

Practice address

445 Winn Way
Decatur, GA 30030

Phone

(404) 294-3835

NPI assigned

Mar 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, AZ2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• NCG Acquisition, LLC

  • Community/Behavioral Health Agency
  • Murphy, NC
  • NPI 1578091161
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ, Psychiatric/Mental Health

  Medicare reassignment NPD
• Medo Psych Consult LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1922504323
  NPD Authorized official

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1831693357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 VALLEY CREEK DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223647",
            "telephone_number": "443-527-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "404-294-3835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Judges Rd Ste 4E",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284053655",
            "country_code": "US",
            "telephone_number": "910-791-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODEDE",
        "first_name": "BAMIDELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5010392",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN213970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhamad Kamil Obideen, M.D
• Christiana Chidinma Obioma
• Nnenna Obiora
• Joseph Obuba
• Occupational Health Centers of Georgia, P.C.
• Ahmad Khaled Odeh, DPM
• Kenneth Odili Odimgbe, RRT
• Gege Odion, O.D.
• Odiorne Dialysis LLC
• Alyssa Marie Odom, AU.D.

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Decatur, GA
• Providers in Decatur, GA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.