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

Idara Inokon Ajala

Individual provider Family Nurse Practitioner · NPI 1740826643

Idara Inokon Ajala is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2019, 7 years ago. Practices with Medical Group of New York PC, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, Georgia, Maryland and North Carolina and 10 more.

Years since qualifying
7
Licensed in
CT, GA, MD, NC, ND, NJ
In the registry since
2019
Specialties on file
15

Practice location Address checks out

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone: (866) 389-2727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1740826643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2019
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Medical Group Of New York Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Kennesaw