P Praxis·MD
● Active Type 1 · Individual

MRS. Daisy Bisola Balogun, WHNP-BC

Nurse Practitioner·Douglasville, GA· NPI 1194063891 · Enumerated 2013 · 13 years on NPI
Balogun is 1 of 4 nurse practitioner providers in Douglasville and 1 of 393 in Georgia.
NPI age
13 years
Enumerated 2013-01-30
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 393 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 2 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-01Enumerated in NPPES
2013 2026

Where they practice

Practice location
6084 Professional Pkwy Ste B
Douglasville, GA 301345612
📞 7707395242
Mailing address
3228 Founders Way
Douglasville, GA 301353195
📞 4042907105

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1700 Hospital South Dr Ste 504
Austell, GA 301068159
📞 7708199211

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN177687 taxonomy 363LW0102X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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