Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912529025 Individual Practitioner Female Practitioner

Ayodele Adegunwa , LPN

Licensed Practical Nurse • Athens, GA

Professional Overview & Biography Verified Profile Summary

Ayodele Adegunwa, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Athens, GA. Practice services are available at 250 BRAY STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

250 Bray Street

Athens, GA 306012244

Telephone 7063896767

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
53 Specialists

Practicing in Athens, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-12
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN071336

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License NJ 26NP05001700

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Karen Belflower , LCSW

Counselor - Professional

NPI 1295113645

Licensed Clinical Social Worker

Nicole James , LCSW

Social Worker - Clinical

NPI 1376798330

Licensed Clinical Social Worker

Porsha Farley , LPN

Licensed Practical Nurse

NPI 1407605181

Licensed Practical Nurse

Faye Fleming , LAPC

Counselor - Professional

NPI 1487214466
Dr. Jill Stewart , DNP, FNP-BC, PMHNP-B

Nurse Practitioner - Psychiatric/Mental Health

NPI 1629596093

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified), PMHNPB

Kaylen Hilton , MSW

Social Worker

NPI 1770048258

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2020

Registered at 250 BRAY STREET, ATHENS, GA 306012244 (Tel: 7063896767)

📍
Updated Business Mailing Address May 12, 2020

Registered at 2526 BRIAR VALLEY WAY, DACULA, GA 300197515

👤
Provider Name / Credentials Updated May 12, 2020

Recorded as AYODELE ADEGUNWA, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2020

Licensed Practical Nurse (License #LPN071336 in GA)

🟢
Initial NPI Registration & Enumeration May 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912529025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2020
Last Update: May 12, 2020
Sole Proprietor: Yes

Mailing Address

2526 Briar Valley Way

Dacula, GA 300197515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.