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MRS. DAISY BISOLA BALOGUN WHNP-BC
NPI 1194063891
Nurse Practitioner - Women's Health in Douglasville, GA

Active since January 30, 2013PECOS Enrolled
6084 PROFESSIONAL PKWY STE B, DOUGLASVILLE, GA 30134(770) 739-5242 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Daisy Bisola Balogun Whnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DAISY BISOLA BALOGUN WHNP-BC (NPI 1194063891) is an individual women's health provider in Douglasville, Georgia, licensed in Georgia (RN177687) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Austell.

NPPES Registry Identity

NPI1194063891
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. DAISY BISOLA BALOGUNCredential: WHNP-BC
Location Address6084 PROFESSIONAL PKWY STE BDouglasville, GA 30134-5612
Mailing Address3228 Founders WayDouglasville, GA 30135-3195 · (404) 290-7105
Phone(770) 739-5242
Sole ProprietorYes
Enumeration DateJanuary 30, 2013
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1194063891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in GA · RN177687
6084 PROFESSIONAL PKWY STE B, Douglasville, GA 30134
Open in Google Maps ↗

Secondary Practice Location 1

Location 11700 Hospital South Dr Ste 504Austell, GA 30106-8159 · Phone (770) 819-9211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Daisy Bisola Balogun Whnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Daisy Balogun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
0.1 mi
Obstetrics & Gynecology
6095 PROFESSIONAL PKWY, SUITE A-210
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1083910046 (770) 949-4188
Obstetrix Medical Group Of Atlanta, LLC
20 mi
Maternal & Fetal Medicine
1938 PEACHTREE ROAD, SUITE 303
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1396970109 (404) 352-5119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daisy Balogun's NPI number?

The NPI number for Daisy Balogun is 1194063891. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Daisy Balogun located?

Daisy Balogun practices at 6084 Professional Pkwy Ste B, Douglasville, GA 30134. The listed phone number is (770) 739-5242.

What is Daisy Balogun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Daisy Balogun enrolled in Medicare?

Yes. Daisy Balogun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daisy Balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daisy Balogun reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Douglasville, GA) and Obstetrix Medical Group Of Atlanta, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daisy Balogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daisy Balogun accept?

Health plans from Alliant Health Plans, Inc. and Ambetter Health list Daisy Balogun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daisy Balogun was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.