Organization Active NPI

Baysworth Health Care Agency LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1942185772
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BAYSWORTH HEALTH CARE AGENCY LLC
Doing business as
Baysworth Health Care Agency LLC
Practice address
4620 Morton Rd
Alpharetta, GA 30022-5523
Phone
(404) 423-2130
NPI assigned
Aug 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Oluwakenke Ben-Asemota, NPNPI 1366050312
Title
Owner/Provider
Phone
(404) 423-2130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4620 Morton Rd
Alpharetta, GA 30022-5523

Mailing address

945 N Point Dr # 1232
Alpharetta, GA 30022-8266
Phone (404) 423-2130

Other names 1

  • Baysworth Health Care Agency LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027004083 GA Part B Supplier - Clinic/Group Practice 1759870199 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

945 N Point Dr
Alpharetta, GA 30022
Phone (470) 807-4963

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1942185772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N POINT DR # 1232",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228266",
            "telephone_number": "404-423-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 MORTON RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225523",
            "telephone_number": "404-423-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSWORTH HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "BEN-ASEMOTA",
        "authorized_official_first_name": "OLUWAKENKE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "404-423-2130",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baysworth Health Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.