Anna Banni Fofung, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN216436 Issued in GA

Practice address

12875 Morningpark Cir
Alpharetta, GA 30004-7329

Phone

(678) 943-7371

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

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.

• PVC Georgia LLC

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1447130224
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1164149365
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1750066932
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1760965198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12875 MORNINGPARK CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047329",
            "telephone_number": "678-943-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12875 MORNINGPARK CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047329",
            "telephone_number": "678-943-7371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3118 Buttercup Byu",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782454950",
            "country_code": "US",
            "telephone_number": "678-943-7371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOFUNG",
        "first_name": "ANNA",
        "middle_name": "BANNI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-05-16",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139796",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Flowers
• Lea Flowers, PHD, LPC
• Floyd P. Garrett MD PC
• Jacquelin Floyd
• Flynn Crossing Dental LLC
• Jessica Loucas Fontaine, CPNP
• Kamilah Dolora Fonza, LCSW
• Foot Solutions, Inc.
• Jeunese Forchin, FNP
• Anne Ford, NCC

• Family Nurse Practitioner in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.