Yemi Joke Sowemimo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN229849 Issued in GA

Practice address

1059 Green St SE
Conyers, GA 30012-5449

Phone

(770) 648-7966

Fax

(949) 404-8472

NPI assigned

Jan 16, 2014

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hillcrest Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Conyers, GA
  • NPI 1851012066

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Graceol Counseling Center Inc

  • Mental Health Counselor
  • Conyers, GA
  • NPI 1083124762

  Single Specialty

  NPD Authorized official
• Hillcrest Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Conyers, GA
  • NPI 1851012066
  NPD

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1790107381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CARILLON DRIVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132948",
            "telephone_number": "404-839-2688",
            "fax_number": "770-922-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 GREEN ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125449",
            "telephone_number": "770-648-7966",
            "fax_number": "949-404-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWEMIMO",
        "first_name": "YEMI",
        "middle_name": "JOKE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "PCH007502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN229849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Cross Surgery Center, LLC
• Southern Pain Institute P C
• Southern Pain Institute PC
• Sovereign Rehabilitation of Georgia, LLC
• Sovereign Rehabilitation of Georgia, LLC
• Speech Language and Cognitive Rehabilitation LLC
• Quanta R Speight
• Spelios and Associates Conyers PC
• Megan Catherine Spence, DPT
• Paula M. Spence, PMHNP-BC

• Family Nurse Practitioner in Conyers, GA
• Providers in Conyers, 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 Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.