Oluwatoyin Susan Sowunmi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN288427 Issued in GA

Practice address

309 Alday LN
Marietta, GA 30060-1274

Phone

(706) 908-7447

Fax

(229) 500-6347

NPI assigned

Apr 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, WA, TX3 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 3

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Bridge Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1588451504

  TX, WA

  Medicare reassignment NPD Authorized official
• Sotsstar LLC

  • Non-emergency Medical Transport (VAN)
  • Marietta, GA
  • NPI 1801577804
  NPD Authorized official

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1689478091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ALDAY LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601274",
            "telephone_number": "706-908-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ALDAY LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601274",
            "telephone_number": "706-908-7447",
            "fax_number": "229-500-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWUNMI",
        "first_name": "OLUWATOYIN",
        "middle_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN288427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Pelvic Health, LLC
• Southern Weight Loss Clinic, LLC
• Southern Wellness Services, LLC
• Southmed EMS, LLC
• Southside Medical Center, Inc
• Heather Spain
• Ellen D Spandorfer, PSYD
• Iris Anne Spangler, MS CCC-SLP
• Rachel Michelle Spann, BS
• Ruth Spann, RBT

• Psychiatric/Mental Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, 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 Nov 5, 2025; 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.