Adeyemisi O Akinnawo

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN244529 Issued in GA

Practice address

1670 Clairmont Rd
Decatur, GA 30033-4004

Phone

(201) 898-9693

NPI assigned

Aug 20, 2024

Last updated

Nov 1, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulse Primary Care of Texas PLLC

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1033006986
  Medicare reassignment NPD
• Watauga Family Practice PA

  dba North Tarrant Family Practice

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1740369073
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1225860976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334004",
            "telephone_number": "470-249-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334004",
            "telephone_number": "201-898-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2418 Warrington Pl",
            "address_purpose": "LOCATION",
            "city": "Venus",
            "state": "TX",
            "postal_code": "760843153",
            "country_code": "US",
            "telephone_number": "201-898-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINNAWO",
        "first_name": "ADEYEMISI",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN244529",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN244529",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN244529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aica Orthopedics P.C.
• Shari Aizenman, LMT
• Wanda Aker, RN
• Scott J Akin, M.D.
• Olubusola Oluyemi Akinbote, PHARM.D.
• Adebowale O Akintayo, MD, MPH
• Adebayo A Akintobi, M.D., M.P.H.
• Makungu Mshairi Akinyela, LMFT
• Akoma Consulting Inc (Akoma Counseling and Consulting)
• Akoma Counseling & Consulting, Inc

• Adult Health Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.