Olubunmi Tina Ayeni, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN174210 Issued in GA

Practice address

2759 Mount Zion Pkwy
Jonesboro, GA 30236-2568

Phone

(678) 289-8338

Fax

(770) 603-0515

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olubunmi Adijat Kuburat Sonuga Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Greater Zion Healthcare Services, LLC.

  • Home Health Agency
  • Stockbridge, GA
  • NPI 1932082898
  NPD
• Mt Zion Urgent Care Center LLC

  • Urgent Care Clinic/Center
  • Jonesboro, GA
  • NPI 1376928903
  NPD
• Wellspring Family Medical Center, Inc

  • Medical Specialty Clinic/Center
  • Jonesboro, GA
  • NPI 1538434311
  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1508482746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 MOUNT ZION PKWY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362568",
            "telephone_number": "678-289-8338",
            "fax_number": "770-603-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MOUNT ZION PKWY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362568",
            "telephone_number": "678-289-8338",
            "fax_number": "770-603-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYENI",
        "first_name": "OLUBUNMI",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN174210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE LICENSE",
            "identifier": "RN174210",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUBUNMI",
            "last_name": "SONUGA",
            "middle_name": "ADIJAT KUBURAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Atlanta Spinal Health LLC
• Sivanaga M. Atluri, MD
• Umacula Audelin, RN
• Meshi Avery, M.ED, NCC, LPC
• Victoria Kelly Awuku, NP
• Oluropo A Ayeni, MD
• Kiana Patrice Ayers, LACTATION CONSULTANT
• B. Pleasant Therapies, LLC
• Jasmine Bailey
• Reneathia Primus Baker, MD

• Primary Care Nurse Practitioner in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.