MRS. DAISY BISOLA BALOGUN (WHNP-BC) – Women's Health Nurse Practitioner, NPI 1194063891
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MRS. DAISY BISOLA BALOGUN (WHNP-BC)
1700 Hospital South Dr Ste 504
Austell, GA 301068159
Phone: (770) 819-9211
Type: Location
4468 MILL GROVE TER
DOUGLASVILLE, GA 301354197
Phone: (404) 290-7105
Type: Mailing
1700 HOSPITAL SOUTH DR STE 504
AUSTELL, GA 301068159
Phone: (770) 819-9211
Type: Location
3228 FOUNDERS WAY
DOUGLASVILLE, GA 301353195
Phone: (404) 290-7105
Type: Mailing
6084 PROFESSIONAL PKWY STE B
DOUGLASVILLE, GA 301345612
Phone: (770) 739-5242
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131115001483 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| Certified Nurse Midwife (Cnm) | WA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Nurse Practitioner | NJ |
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