Active NPI
Afusat Adeyemi
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- C-APN0102132-C-NP
- Practice address
- 602 Green St
Lawrenceville, GA 30046-6054 - Phone
- (762) 334-3392
- Fax
- (762) 212-4352
- NPI assigned
- May 15, 2014
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN202394 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN202394 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN0102132-C-NP | CO | Primary |
Addresses
Primary practice location
602 Green St
Lawrenceville, GA 30046-6054
Mailing address
469 Corbin Oak RDG
Grayson, GA 30017-7866
Phone (770) 557-0041
Other practice location 1
50 Glenlake Pkwy Ste 200
Sandy Springs, GA 30328-3488
Phone (833) 917-2106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WI, MN, DC, CO, AZ, WA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN0102132-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogers Memorial Hospital Incorporated | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Rogers Behavioral Health Practice PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Rogers Behavioral Health - Georgia Inc | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Twins Caring Hands LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Rogers Memorial Hospital Incorporated | Past | Accepting new patients | |
| Rogers Behavioral Health - Wisconsin SC | Psychiatric/Mental Health | Past | Accepting new patients |
| Rogers Behavioral Health Practice - Colorado PC | Psychiatric/Mental Health | Past | Accepting new patients |
| Rogers Behavioral Health - Colorado Inc | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
50 Glenlake Pkwy
Ste 200
Sandy Springs, GA 30328
Phone (470) 622-2400
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
6442 City West Pkwy
Ste 200
Eden Prairie, MN 55344
Phone (763) 318-2788
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
576 Bielenberg Dr
Ste 180
Woodbury, MN 55125
Phone (612) 225-4141
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
4351 W College Ave
Ste 300
Appleton, WI 54914
Phone (844) 258-1072
5 Innovation Ct
Ste 100
Appleton, WI 54914
9916 75th St
Kenosha, WI 53142
Phone (262) 697-3800
406 Science Dr
Ste 110
Madison, WI 53711
Phone (608) 238-4411
34700 Valley Rd
Oconomowoc, WI 53066
1108 S Wildwood Ave
Sheboygan, WI 53081
Phone (844) 258-1072
11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500
2424 S 102nd St
West Allis, WI 53227
Phone (414) 373-7474
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceville, GA
- NPI 1972368231
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
Psychiatric/Mental Health
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, CO, DC, GA, HI, MN, Psychiatric/Mental Health, WA
-
dba Rogers Behavioral Health
- Psychiatric Hospital
- Oconomowoc, WI
- NPI 1053329581
-
dba Rogers Behavioral Health
- Clinic/Center
- Sandy Springs, GA
- NPI 1700410131
-
dba Rogers Behavioral Health Practice - Georgia, P.C.
- Psychiatry Physician
- Sandy Springs, GA
- NPI 1669006003
Psychiatric/Mental Health
-
- Clinic/Center
- Englewood, CO
- NPI 1891442562
-
dba Rogers Behavioral Health Practice - Wisconsin SC
- Psychiatry Physician
- Oconomowoc, WI
- NPI 1699524751
Psychiatric/Mental Health
-
dba Rogers Behavioral Health
- Psychiatry Physician
- Englewood, CO
- NPI 1821746058
Psychiatric/Mental Health
-
dba Rogers Behavioral Health
- Clinic/Center
- Eden Prairie, MN
- NPI 1013420561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1093126708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 CORBIN OAK RDG",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300177866",
"telephone_number": "770-557-0041",
"fax_number": "678-353-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 GREEN ST",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300466054",
"telephone_number": "762-334-3392",
"fax_number": "762-212-4352"
}
],
"practiceLocations": [
{
"address_1": "50 Glenlake Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "303283488",
"country_code": "US",
"telephone_number": "833-917-2106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEYEMI",
"first_name": "AFUSAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN202394",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN202394",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN0102132-C-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.