P Praxis·MD
● Active Type 2 · Organization

Bold Ark Llc

Nurse Practitioner·Loganville, GA· NPI 1740079623 · Enumerated 2025 · 1 years on NPI
Bold Ark Llc is 1 of 1622 nurse practitioner organizations in Georgia.
NPI age
1 years
Enumerated 2025-05-06
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Adewunmi
Ceo
Last NPPES update
2026-03-27
Source: monthly bulk 2026-05

How this organization compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
1 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
3905 Harrison Rd Ste 500
Loganville, GA 300525895
📞 6788981927fax 6787988880
Mailing address
3905 Harrison Rd Ste 500
Loganville, GA 300525895
📞 6788981927fax 6787988880

Authorized official

Olufunke Mukomi Adewunmi, DNP, PMHNP-BC
Ceo
📞 6788981927

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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