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UDU OLADEINDE
NPI 1417718743
Nurse Practitioner - Psychiatric/Mental Health in Johns Creek, GA

Active since January 23, 2024PECOS Enrolled
11340 LAKESIDE DR,, SUIT 200, JOHNS CREEK, GA 30097(770) 983-4084(404) 726-3435 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Udu Oladeinde NPPES

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

UDU OLADEINDE (NPI 1417718743) is an individual psychiatric/mental health provider in Johns Creek, Georgia, licensed in Georgia (RN231481) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417718743
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameUDU OLADEINDE
Location Address11340 LAKESIDE DR,, SUIT 200Johns Creek, GA 30097
Mailing Address990 Peachtree Industrial Blvd, P.o.box 938Suwanee, GA 30024-9998 · (770) 983-4084
Phone(770) 983-4084
Fax(404) 726-3435
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 23, 2024
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1417718743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN231481
11340 LAKESIDE DR,, Johns Creek, GA 30097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Udu Oladeinde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416466651
PECOS Enrollment IDI20260527000398, I20260602004704
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

5

Medicare enrollment records show Udu Oladeinde reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Health Network LLC
207 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627
Grow Healthcare Group PA
618 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona, District of Columbia, Georgia and Washington enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Signify Health Medical Associates Of New Jersey, LLC
689 mi
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
NPI 1174187728 (877) 868-5351
Signify Health, LLC
736 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona and Kentucky enrollments
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
736 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Colorado, Georgia, Maryland, Oregon and Washington enrollments
  • 290 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 30097 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 Udu Oladeinde's NPI number?

The NPI number for Udu Oladeinde is 1417718743. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Udu Oladeinde located?

Udu Oladeinde practices at 11340 Lakeside Dr, Suit 200, Johns Creek, GA 30097. The listed phone number is (770) 983-4084.

What is Udu Oladeinde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Udu Oladeinde enrolled in Medicare?

Yes. Udu Oladeinde is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Udu Oladeinde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Udu Oladeinde reassigns Medicare benefits to 5 organizations: Community Care Health Network LLC (Nashville, TN), Grow Healthcare Group PA (Miami, FL), Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Udu Oladeinde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Udu Oladeinde accept?

Health plans from CareSource (Common Ground Healthcare) list Udu Oladeinde 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 Udu Oladeinde was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.