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DAVID OLABANJI BALOGUN
NPI 1790414936
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since June 05, 2022PECOS Enrolled
5650 WISBECH WAY, ATLANTA, GA 30349(404) 397-7632 Get Directions Write a Review

NPPES record last updated: June 5, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About David Olabanji Balogun NPPES

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

DAVID OLABANJI BALOGUN (NPI 1790414936) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (RN265381) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790414936
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID OLABANJI BALOGUN
Location Address5650 WISBECH WAYAtlanta, GA 30349-2778
Mailing Address5650 Wisbech WayAtlanta, GA 30349-2778 · (404) 397-7632
Phone(404) 397-7632
Sole ProprietorYes
Enumeration DateJune 5, 2022
NPPES CertifiedJune 4, 2022
✔ NPI 1790414936 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 · RN265381
5650 WISBECH WAY, Atlanta, GA 30349
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Olabanji Balogun 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30349 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 David Balogun's NPI number?

The NPI number for David Balogun is 1790414936. It was assigned to this individual provider in the NPPES registry on June 5, 2022.

Where is David Balogun located?

David Balogun practices at 5650 Wisbech Way, Atlanta, GA 30349. The listed phone number is (404) 397-7632.

What is David Balogun's specialty?

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

Is David Balogun enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Balogun was last updated on June 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.