Individual provider Active NPI

Lovelin Fonkika

  • Family Nurse Practitioner
  • Peachtree Corners, GA
National Provider Identifier
1083497606
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN280842 Issued in GA
Practice address
5550 Peachtree Pkwy Ste 150
Peachtree Corners, GA 30092-2560
Phone
(770) 558-6202
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN280842 GA Primary

Addresses

Primary practice location

5550 Peachtree Pkwy Ste 150
Peachtree Corners, GA 30092-2560

Mailing address

129 Ewing Way
Dacula, GA 30019-5601
Phone (140) 443-7231

Other names 1

  • Lovelin Ngwonjou Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813003552 GA Practitioner - Nurse Practitioner 8325586076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Hospice, LLCGroup PAC ID 0749585784, 6 clinicians

Practice addresses (Care Compare)

5550 Peachtree Pkwy
Suite 150
Peachtree Corners, GA 30092-2560
Phone (770) 558-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN280842GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Hospice, LLC CurrentSince Mar 16, 2024 Accepting new patients
Pellynash Medical Services CurrentSince Aug 10, 2025 Accepting new patients
Atlanta Family Palliative Care LLC CurrentSince Jun 1, 2024 Accepting new patients
SB Healthcare, LLC PastSince Jul 1, 2024 Accepting new patients

Locations

5950 Live Oak Pkwy
Ste 240
Norcross, GA 30093
Phone (770) 892-1637

5550 Peachtree Pkwy
Ste 150
Peachtree Corners, GA 30092
Phone (770) 558-6202

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1083497606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 EWING WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195601",
            "telephone_number": "140-443-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PEACHTREE PKWY STE 150",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922560",
            "telephone_number": "770-558-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONKIKA",
        "first_name": "LOVELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN280842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOVELIN",
            "last_name": "NGWONJOU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.