Individual provider Active NPI

Benedicta N Okoye, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1922453117
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019072427 Issued in GA
Practice address
5401 Boreal Way SW
Atlanta, GA 30331
Phone
(470) 429-1431
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN196505 GA
Family Nurse Practitioner 363LF0000X RN196505 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019072427 GA Primary

Addresses

Primary practice location

5401 Boreal Way SW
Atlanta, GA 30331

Mailing address

5401 Boreal Way SW
Atlanta, GA 30331-9215
Phone (470) 429-1431

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
I20180713000021 GA Practitioner - Nurse Practitioner 3577852904 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2138 Main St E
Snellville, GA 30078-3496
Phone (404) 906-5858

6572 River Park Dr
Suite 101 G
Riverdale, GA 30274-2214
Phone (470) 429-1431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN196505GAMDFamily Nurse Practitioner
2019072427GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Counseling Services Inc Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Paradise for Living Services, Inc. CurrentSince Jan 23, 2026 Accepting new patients
Willow Oak Community Behavioral Health Center CurrentSince May 24, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 16, 2024 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Jul 5, 2018 Accepting new patients
Willow Oak Foundation, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2800 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

720 Westview Dr SW
Bldg 100A
Atlanta, GA 30310

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

37 Calumet Pkwy
Ste J102
Newnan, GA 30263

2138 Main St E
Snellville, GA 30078
Phone (404) 906-5858

2410 Wisteria Dr
Snellville, GA 30078
Phone (404) 906-5858

2165 W Park Ct
Ste Abc
Stone Mountain, GA 30087
Phone (678) 446-8288

Organizations & group practices 7

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1922453117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 BOREAL WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319215",
            "telephone_number": "470-429-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BOREAL WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "470-429-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "BENEDICTA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN196505",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN196505",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "2019072427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.