Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aden Abate Desta

Individual provider Family Nurse Practitioner · NPI 1265136808

Aden Abate Desta is a Nurse Practitioner in Austell, Georgia. Qualified in 2022, 4 years ago. Practices with Qofl Services LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023
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Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 283567 (GA)

Record details

NPI number1265136808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address3950 Austell Rd, Austell, GA 30106-1121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Qofl Services Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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