Belkesa Abdallah Adem, MSN FNP
Individual provider Active NPI Family Nurse Practitioner · Lawrenceville, GA
NPI 1962286245 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1962286245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN265715 (GA)
- Practice address
- 5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834 - Phone
- (770) 237-2222
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanta Plus Urgent Care
Minuteclinic LLC
Practice addresses (Care Compare)
2121 Salem Rd SE
Conyers, GA 30013-1823
Phone (770) 679-4360
5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834
Phone (866) 389-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231005001196 | GA | Practitioner - Nurse Practitioner | 2668827031 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN265715 | GA | MD | Family Nurse Practitioner |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Plus Urgent Care | Current |
Accepting new patients | |
| Atlanta Plus Primary Care LLC | Current |
Accepting new patients | |
| Minuteclinic LLC | Family | Current |
Accepting new patients |
| Primary Care PLLC | Family | Current |
Accepting new patients |
Locations
2121 Salem Rd SE
Conyers, GA 30013
Phone (470) 826-4051
6238 Turner Lake Rd SW
Covington, GA 30014
Phone (470) 971-2118
5710 Sugarloaf Pkwy
Lawrenceville, GA 30043
Phone (770) 237-2222
2720 Loganville Hwy
Loganville, GA 30052
Phone (770) 277-5996
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDAHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN265715 | GA | Yes |
Addresses
Primary practice location
5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834
Mailing address
5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834
Other providers in Lawrenceville, GA
- Adassa Medical Equipment & Supply Company, LLC
- Addiction Healing Center, LLC
- Linsey Addington
- Oluwafunmilayo K Adebayo
- Abigael D Adeleke
- Nicholas Adeniyi
- Oluwafemi Adegboyega Adepoju
- Olusola Aderibigbe
- Taiwo Adeshigbin
- Afusat Adeyemi
All providers in Lawrenceville, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.