MRS. NIMOTA A ADEBOYE NP
NPI 1235108176
Nurse Practitioner - Women's Health in Atlanta, GA
About Mrs. Nimota A Adeboye Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NIMOTA A ADEBOYE NP (NPI 1235108176) is an individual women's health provider in Atlanta, Georgia, licensed in Georgia (RN101321) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Nimota A Adeboye Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nimota Adeboye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30068
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
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 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
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 Nimota Adeboye's NPI number?
The NPI number for Nimota Adeboye is 1235108176. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Nimota Adeboye located?
Nimota Adeboye practices at 20 Glenlake Pkwy, Atlanta, GA 30328. The listed phone number is (770) 677-6075.
What is Nimota Adeboye's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Nimota Adeboye enrolled in Medicare?
Yes. Nimota Adeboye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nimota Adeboye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nimota Adeboye reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and The Southeast Permanente Medical Group (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 Nimota Adeboye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nimota Adeboye was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mrs. Nimota A Adeboye, NP · NPI 1235108176
Women's Health physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1235108176 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** RN101321 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 GLENLAKE PKWY, Atlanta, GA 30328-3473
- **Phone:** (770) 677-6075 · **Fax:** (770) 677-7331
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1053617621, Marietta, GA); The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** April 7, 2023
- **Other identifiers:** Medicaid 000842982B (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1235108176) · Data from the CMS NPPES public registry.