Individual provider

Idara Ajala

Psychiatric/Mental Health Nurse Practitioner Family Nurse Practitioner Medicare enrolled

Idara Ajala is a Psychiatric/Mental Health Nurse Practitioner in Kennesaw, GA, registered under NPI 1740826643. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2782 N COBB PKWY, Kennesaw, GA 30152. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2782 N COBB PKWY, Kennesaw, GA 30152 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
GAA-NP001676 GA Psychiatric/Mental Health Nurse… primary
37662 TN Family Nurse Practitioner
201317 ND Family Nurse Practitioner
5021546 NC Family Nurse Practitioner
121412 WV Family Nurse Practitioner
AC007091 MD Family Nurse Practitioner
014096 CT Family Nurse Practitioner
26NJ15319800 NJ Family Nurse Practitioner
F344819-01 NY Family Nurse Practitioner
29580 SC Family Nurse Practitioner
CP003464 SD Family Nurse Practitioner
0024192081 VA Family Nurse Practitioner
SP032801 PA Family Nurse Practitioner
344819 NY Family Nurse Practitioner
1616433 WI Family Nurse Practitioner

Licences are recorded in 14 states: GA, TN, ND, NC, WV, MD, CT, NJ, NY, SC, SD, VA, PA, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8123463551

Enrolled in Medicare 10 times, across 10 states:

StateEnrollment IDProvider type
Maryland I20240226001495 Practitioner - Nurse Practitioner
New York I20240924002039 Practitioner - Nurse Practitioner
Georgia I20241018002352 Practitioner - Nurse Practitioner
South Carolina I20250110002456 Practitioner - Nurse Practitioner
Tennessee I20250219002485 Practitioner - Nurse Practitioner
Wisconsin I20250220002784 Practitioner - Nurse Practitioner
Virginia I20250228003262 Practitioner - Nurse Practitioner
North Carolina I20250228003357 Practitioner - Nurse Practitioner
New Jersey I20250516001830 Practitioner - Nurse Practitioner
Pennsylvania I20250530000928 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 10 separate enrolment records across 10 states (MD, NY, GA, SC, TN, WI, VA, NC, NJ, PA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 14 states

This provider holds licences in 14 states: Connecticut, Georgia, Maryland, North Carolina, North Dakota, New Jersey, New York, Pennsylvania, South Carolina, South Dakota, Tennessee, Virginia, Wisconsin and West Virginia. The practice address on file is in Kennesaw, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut
Licence
014096
Specialty
Family Nurse Practitioner
Verify with the CT board →
GA Georgia practice address
Licence
GAA-NP001676
Specialty
Psychiatric/Mental Health Nurse…
Verify with the GA board →
MD Maryland
Licence
AC007091
Specialty
Family Nurse Practitioner
Verify with the MD board →
NC North Carolina
Licence
5021546
Specialty
Family Nurse Practitioner
Verify with the NC board →
ND North Dakota
Licence
201317
Specialty
Family Nurse Practitioner
Verify with the ND board →
NJ New Jersey
Licence
26NJ15319800
Specialty
Family Nurse Practitioner
Verify with the NJ board →
NY New York
Licence
F344819-01
Specialty
Family Nurse Practitioner
Verify with the NY board →
PA Pennsylvania
Licence
SP032801
Specialty
Family Nurse Practitioner
Verify with the PA board →
SC South Carolina
Licence
29580
Specialty
Family Nurse Practitioner
Verify with the SC board →
SD South Dakota
Licence
CP003464
Specialty
Family Nurse Practitioner
Verify with the SD board →
TN Tennessee
Licence
37662
Specialty
Family Nurse Practitioner
Verify with the TN board →
VA Virginia
Licence
0024192081
Specialty
Family Nurse Practitioner
Verify with the VA board →
WI Wisconsin
Licence
1616433
Specialty
Family Nurse Practitioner
Verify with the WI board →
WV West Virginia
Licence
121412
Specialty
Family Nurse Practitioner
Verify with the WV board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health GAA-NP001676 GA primary
363LF0000X Family Nurse Practitioner Family 37662 TN
363LF0000X Family Nurse Practitioner Family 201317 ND
363LF0000X Family Nurse Practitioner Family 5021546 NC
363LF0000X Family Nurse Practitioner Family 121412 WV
363LF0000X Family Nurse Practitioner Family AC007091 MD
363LF0000X Family Nurse Practitioner Family 014096 CT
363LF0000X Family Nurse Practitioner Family 26NJ15319800 NJ
363LF0000X Family Nurse Practitioner Family F344819-01 NY
363LF0000X Family Nurse Practitioner Family 29580 SC
363LF0000X Family Nurse Practitioner Family CP003464 SD
363LF0000X Family Nurse Practitioner Family 0024192081 VA
363LF0000X Family Nurse Practitioner Family SP032801 PA
363LF0000X Family Nurse Practitioner Family 344819 NY
363LF0000X Family Nurse Practitioner Family 1616433 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1740826643 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 26, 2019
Last updatedDec 17, 2025
StatusActive
Sole proprietorNo
Practice address 2782 N COBB PKWY
Kennesaw, GA 30152
(866) 389-2727
This record was updated on Dec 17, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1740826643 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 4 0 8 2 6 6 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 8 0 7 2 3 6 8

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1740826643?
NPI 1740826643 is the National Provider Identifier assigned to Idara Ajala in Kennesaw, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Idara Ajala?
The phone number on file with NPPES is (866) 389-2727, last updated Dec 17, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Idara Ajala accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1740826643 a valid number?
Yes. 1740826643 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.