BAMIDELE ODEDE (NP) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1831693357
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,248 NURSE PRACTITIONER in NC
Provider Addresses for BAMIDELE ODEDE (NP)
2100 VALLEY CREEK DR
LITHIA SPRINGS, GA 301223647
Phone: (443) 527-8356
Type: Mailing
311 Judges Rd Ste 4E
Wilmington, NC 284053655
Phone: (910) 791-6767
Type: Location
Winn Way, Decatur, DeKalb County, Georgia, 30030, United States
DECATUR, GA 30030
Phone: (404) 294-3835
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: 2022-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180614001817 | I | Nurse Practitioner | NC | TBD |
| I20220913000908 | I | Nurse Practitioner | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 82 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 24 | $0 |
Insurance plans in this area (ZIP 30122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Clinical Social Worker | NC | |
| Nurse Practitioner | NC | |
| - | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | FL | |
| Marriage And Family Therapist | NC | |
| Mental Health Counselor | NC | |
| Clinical Psychologist | NC | |
| Clinical Social Worker | NC |
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