Individual provider Active NPI

Aminat Aina Babalola, NP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1891270443
Registry record updated Sep 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN235760 Issued in GA
Practice address
3715 Northside Pkwy NW
Atlanta, GA 30327-2886
Phone
(678) 520-7332
NPI assigned
Sep 29, 2018
Last updated
Sep 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 RN235760 GA Primary

Addresses

Primary practice location

3715 Northside Pkwy NW
Atlanta, GA 30327-2886

Mailing address

5784 Mays Ridge CT
Rex, GA 30273-2554
Phone (678) 520-7332

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
I20181206001596 GA Practitioner - Nurse Practitioner 2466796131 Reassigns benefits to 2 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
Vision Medical Consulting, P.C.Group PAC ID 3678589967, 19 clinicians

Practice addresses (Care Compare)

3715 Northside Pkwy NW
Building 2 100
Atlanta, GA 30327-2822
Phone (770) 938-1757

Merit-based Incentive Payment System (MIPS)

Final score
21.25 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
70.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bourdillon Healthcare Solutions LLC Current Accepting new patients
Vision Medical Consulting, P.C. CurrentSince Nov 1, 2018 Accepting new patients

Locations

350 Boulevard SE
Atlanta, GA 30312
Phone (401) 688-6731

3715 Northside Pkwy NW
Atlanta, GA 30327
Phone (678) 520-7332

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

54 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 351-6041

2787 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

4115 Glenwood Rd
Decatur, GA 30032
Phone (404) 284-6414

4595 Cantrell Rd
Flowery Branch, GA 30542
Phone (770) 965-1484

1109 Green St
Roswell, GA 30075
Phone (770) 998-1802

1990 Lakeside Pkwy
Ste 170
Tucker, GA 30084
Phone (770) 938-1757

4608 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 491-9444

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, 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": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538179200000",
    "number": "1891270443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 MAYS RIDGE CT",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732554",
            "telephone_number": "678-520-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272886",
            "telephone_number": "678-520-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABALOLA",
        "first_name": "AMINAT",
        "middle_name": "AINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2018-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.