Active NPI
Monica Richardson Ademola, FNP
- Family Nurse Practitioner
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN249568
- Practice address
- 150 Scranton Connector
Brunswick, GA 31525-0540 - Phone
- (912) 262-2300
- Fax
- (912) 262-3333
- NPI assigned
- Jan 28, 2022
- Last updated
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN249568 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN249568 | GA | Primary |
Addresses
Primary practice location
150 Scranton Connector
Brunswick, GA 31525-0540
Mailing address
35 Rice Mill Rd
Port Wentworth, GA 31407-6023
Phone (912) 352-6388
Other practice location 1
1512 Bull St Unit 6
Savannah, GA 31401-7255
Phone (912) 200-6490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN249568 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| Applecare Memorial Immediate Care Joint Venture LLC | Current | Accepting new patients |
Locations
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
14089 Abercorn St
Savannah, GA 31419
Phone (912) 349-4945
1512 Bull St
Unit 6
Savannah, GA 31401
Phone (912) 200-6490
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1962817601
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1679226807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 RICE MILL RD",
"city": "PORT WENTWORTH",
"state": "GA",
"postal_code": "314076023",
"telephone_number": "912-352-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SCRANTON CONNECTOR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315250540",
"telephone_number": "912-262-2300",
"fax_number": "912-262-3333"
}
],
"practiceLocations": [
{
"address_1": "1512 Bull St Unit 6",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314017255",
"country_code": "US",
"telephone_number": "912-200-6490",
"fax_number": "912-200-6590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEMOLA",
"first_name": "MONICA",
"middle_name": "RICHARDSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN249568",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN249568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
- Accessenabled, LLC
- Acts Family Practice LLC
- Anna Adams, MED, CCC-SLP
- Katherine T Adams, FNP
- Brian D Adcock, PA
- Jolie Adkins
- Advance Rehabilitation & Consulting Limited Partnership
- Advanced Hearing & Balance Center
- Advanced Regenerative Healthcare and Physical Medicine of Brunswick
- Affordable Dentures & Implants of Georgia III, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.