Active NPI
Anofiu Owoseni
- Home Health Agency
- Fayetteville, GA
National Provider Identifier
1396685277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 205 Thrushwood Dr
Fayetteville, GA 30215-2157 - Phone
- (631) 552-7476
- NPI assigned
- Mar 30, 2026
- Last updated
- Mar 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | GA | Primary |
Addresses
Primary practice location
205 Thrushwood Dr
Fayetteville, GA 30215-2157
Mailing address
205 Thrushwood Dr
Fayetteville, GA 30215-2157
Phone (631) 552-7476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1396685277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 THRUSHWOOD DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152157",
"telephone_number": "631-552-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 THRUSHWOOD DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152157",
"telephone_number": "631-552-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWOSENI",
"first_name": "ANOFIU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Omolola Otubaga, NP
- Rebecca Carolyn Otwell-Dove, PHD
- Lauryn Overstreet, LCSW-C
- Owens Counseling Services, LLC
- Stephanie Denise Owens-Gilkesson, PHARMD
- J. Rena Owsley-Brown, DMD
- Adenike Oluwafunsho Oyedele, RN, BSN
- P & M Transportation
- P E T Imaging of Fayette LLC (Trident PET of Fayette)
- P4 Physical Therapy Limited Partnership
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.