Individual provider Active NPI

Atinuke Adekola

  • Nurse Practitioner
  • Lithia Springs, GA
National Provider Identifier
1841761004
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN221678 Issued in GA
Practice address
798 Rockingham Dr
Lithia Springs, GA 30122-3674
Phone
(404) 236-4136
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN221678 GA Primary

Addresses

Primary practice location

798 Rockingham Dr
Lithia Springs, GA 30122-3674

Mailing address

798 Rockingham Dr
Lithia Springs, GA 30122-3674
Phone (404) 236-4136

Other identifiers 1

IdentifierTypeStateIssuer
RN221678OtherGAADVANCE PRACTICE REGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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
I20190611002056 TX Practitioner - Nurse Practitioner 0143553974 Reassigns benefits to 2 organizations
I20200115002105 GA Practitioner - Nurse Practitioner 0143553974 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Emergency Specialists, LLCGroup PAC ID 0840373619, 50 clinicians
Allatoona Emergency Group PCGroup PAC ID 2567847684, 26 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (954) 939-5000

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (770) 382-1530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN221678GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Small Hospital Innovations LLC CurrentSince Jul 1, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Gwinnett Emergency Specialists, LLC Nurse Practitioner CurrentSince Jan 14, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Sep 15, 2021 Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC CurrentSince Apr 11, 2022 Accepting new patients
Hightower Emergency Group, PC Nurse Practitioner CurrentSince Aug 23, 2020 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Sep 15, 2021 Accepting new patients

Locations

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1841761004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 ROCKINGHAM DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223674",
            "telephone_number": "404-236-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ROCKINGHAM DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223674",
            "telephone_number": "404-236-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKOLA",
        "first_name": "ATINUKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN221678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE REGISTERED NURSE",
            "identifier": "RN221678",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.