Olawunmi Ogun-Semore

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

182005 Issued in GA

Practice address

11815 Northfall LN Ste 1001
Alpharetta, GA 30009-7973

Phone

(425) 659-5073

Fax

(770) 502-6956

NPI assigned

Mar 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Olawunmi Yetunde Ogun-Semore Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, WA, CA, MD, NY, NM, RI7 enrollments

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 7

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  GA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558

  Single Specialty

  Medicare reassignment NPD
• Evirtualcare, LLC

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1073050647

  Single Specialty

  Medicare reassignment NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324

  Single Specialty

  Medicare reassignment NPD
• Northeast Georgia Physicians Group Inc

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1891745212

  Single Specialty

  Medicare reassignment NPD
• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Single Specialty

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  GA, Single Specialty

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, NM, NY, RI, WA

  Medicare reassignment
• Prime Veritas

  • Assisted Living Facility (Mental Illness)
  • Dacula, GA
  • NPI 1801251202
  NPD (past) Authorized official
• Newly Sought After International LLC

  • Family Nurse Practitioner
  • Alpharetta, GA
  • NPI 1851909535

  Single Specialty

  NPD (past)
• Crescent Outpatient and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mercer Island, WA
  • NPI 1841984119
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1104287283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 NORTHFALL LN STE 1001",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097973",
            "telephone_number": "425-659-5073",
            "fax_number": "770-502-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 NORTHFALL LN STE 1001",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097973",
            "telephone_number": "425-659-5073",
            "fax_number": "770-502-6956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Wisteria Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013827",
            "country_code": "US",
            "telephone_number": "425-659-5073",
            "fax_number": "770-219-7102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "425-659-5073",
            "fax_number": "770-219-6021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Lenora Church Rd",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300783622",
            "country_code": "US",
            "telephone_number": "425-659-5073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3955 156th St NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714831",
            "country_code": "US",
            "telephone_number": "425-659-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUN-SEMORE",
        "first_name": "OLAWUNMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "182005",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN182005",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "182005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ehr.icanotes.com/~~srv107/software/html5.html",
            "affiliation": "N",
            "endpointDescription": "icanotes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11815 Northfall Ln Ste 1001",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300097973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OLAWUNMI",
            "last_name": "OGUN-SEMORE",
            "middle_name": "YETUNDE",
            "credential": "PMHNP-BC, ACPCNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Occupational Therapy of Forsyth
• Mohamed Odeh
• Monica Odelus
• Franca Ogbemudia
• Patricia Ogden, M.ED.
• Adedoyin Ogunyemi
• Albin Oh, MD
• Susan Oh, RPH
• Old Milton Dental
• Julia Aguiar Oliveira

• Psychiatric/Mental Health Nurse Practitioner in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.

Verify at the official NPI Registry.