BAMIDELE ODEDE (NPI# 1831693357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831693357 |
| Entity Type | Individual |
| Full Name | BAMIDELE ODEDE |
| Credential | NP |
| Practice Address |
445 Winn Way Decatur GA 30030 |
| Mailing Address |
2100 Valley Creek Dr Lithia Springs GA 30122-3647 |
| Practice Telephone | 4042943835 |
| Mailing Telephone | 4435278356 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5010392 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN213970 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 Judges Rd Ste 4e, Wilmington, NC 284053655 | 9107916767 |
| Street Address |
445 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588691 | Nancy S Koughan | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2005-06-16 |
| 1699372342 | Marteia Wells | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2020-10-06 |
| 1205440831 | Trikella T Jones | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-09-01 |
| 1376166611 | Rashanna Ratliff | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-05-21 |
| 1710513783 | Mary L Locke | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-03-20 |
| 1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
| 1053959254 | John Francis Beltrami | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2019-12-18 |
| 1609411172 | Jean Lehmann | Dietitian, Registered | 445 Winn Way, Decatur, GA 30030-1707 | 2019-11-08 |
| 1437709086 | Joseph Pfeffer | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-09-16 |
| 1760047013 | Karen Brown Taylor | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497035380 | Dene Ruth Bellamy | Clinical Nurse Specialist | 3073 Panthersville Road, Decatur, GA 30034 | 2011-08-23 |
| 1144550641 | Huey J. Chen | Clinical Nurse Specialist | 445 Winn Way, Decatur, GA 30030-1707 | 2010-01-05 |
| 1316147317 | Carol A Wood | Clinical Nurse Specialist | 151 N Main St, Decatur, IL 62523-1206 | 2007-07-19 |
| 1558493205 | Julie Choe Casaday | Clinical Nurse Specialist | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2007-03-09 |
| 1003945098 | Lynn S. Vanliew | Clinical Nurse Specialist | 450 Winn Way, Decatur, GA 30030-1715 | 2007-03-05 |
| 1750318317 | Angeline M Curtis | Clinical Nurse Specialist | 1670 Clairmont Rd, 116b, Decatur, GA 30033-4004 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346638285 | Robin Raiken Bledsoe | Clinical Nurse Specialist | 458 Ponce De Leon Ave Ne, Atlanta, GA 30308-1836 | 2014-12-30 |
| 1932529021 | Dorothy Rainey | Clinical Nurse Specialist | 2553 Fieldstone Dr Se, Conyers, GA 30013-1945 | 2014-04-16 |
| 1245571082 | Deborah A. Becker | Clinical Nurse Specialist | 205 Dental Dr Ste 3, Warner Robins, GA 31088-8210 | 2013-03-04 |
| 1295062289 | Jane A. Frederick | Clinical Nurse Specialist | 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060 | 2009-11-11 |
| 1548445091 | Jan T Nodine | Clinical Nurse Specialist | 1561 Tappan Spur Rd, Watkinsville, GA 30677-3845 | 2008-01-03 |
| 1770791337 | Jane Ellen Welch | Clinical Nurse Specialist | 1501 Kalamazoo Dr # A, Griffin, GA 30224-3919 | 2007-05-18 |
| 1720104102 | Kelly West Gilfillan | Clinical Nurse Specialist | 700 Highway 341 S, Barnesville, GA 30204-3470 | 2007-03-21 |
| 1457822348 | Cathy Mcelveen Billiter | Clinical Nurse Specialist | 1 Freedom Way # 26, Augusta, GA 30904-6258 | 2018-12-17 |
| 1366797391 | Julie Inez Burke | Clinical Nurse Specialist | 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 | 2012-07-16 |
| 1972816726 | Scott Nelson Howell | Clinical Nurse Specialist | 1763 Fernside Dr, Toccoa, GA 30577-8095 | 2010-07-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.