Individual provider Active NPI

Olajide Abiodun Opaleye, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Powder Springs, GA
National Provider Identifier
1992386304
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN141925 Issued in GA
Practice address
4170 Old Austell Rd
Powder Springs, GA 30127-2691
Phone
(678) 521-8115
NPI assigned
Apr 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN141925 GA Primary

Addresses

Primary practice location

4170 Old Austell Rd
Powder Springs, GA 30127-2691

Mailing address

5200 Dallas Hwy Ste 200-134
Powder Springs, GA 30127-6318
Phone (470) 593-8652

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
I20210629000657 GA Practitioner - Nurse Practitioner 9830590843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sophroneo Psychiatry PCGroup PAC ID 2961883251, 2 clinicians

Practice addresses (Care Compare)

4170 Old Austell Rd
Powder Springs, GA 30127-2691
Phone (770) 999-9495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN141925GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountains Community Services CurrentSince Jun 2, 2021 Accepting new patients
Sophroneo Psychiatry, P.C. Psychiatric/Mental Health CurrentSince May 15, 2022 Accepting new patients
Healing Wings Home Care Providers Inc. PastSince Apr 1, 2021 Accepting new patients

Locations

1810 Mulkey Rd
Ste 202
Austell, GA 30106
Phone (470) 593-8652

150A Johnson St
Dahlonega, GA 30533
Phone (706) 864-6822

2470 Windy Hill Rd SE
Ste 440
Marietta, GA 30067
Phone (470) 593-8652

5200 Dallas Hwy
Ste 200134
Powder Springs, GA 30127

4170 Old Austell Rd
Powder Springs, GA 30127
Phone (470) 593-8652

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1992386304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DALLAS HWY STE 200-134",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276318",
            "telephone_number": "470-593-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 OLD AUSTELL RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272691",
            "telephone_number": "678-521-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPALEYE",
        "first_name": "OLAJIDE",
        "middle_name": "ABIODUN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN141925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.