Individual provider Active NPI

Oladunni Funmi Faminu, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lithonia, GA
National Provider Identifier
1861040479
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN214882 Issued in GA
Practice address
7910 Mall Ring Rd Ste 200
Lithonia, GA 30038-2698
Phone
(470) 481-2034
Fax
(470) 481-2577
NPI assigned
Aug 27, 2019
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN214882 GA Primary

Addresses

Primary practice location

7910 Mall Ring Rd Ste 200
Lithonia, GA 30038-2698

Mailing address

7910 Mall Ring Rd Ste 200
Lithonia, GA 30038-2698
Phone (470) 481-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211124001653 GA Practitioner - Nurse Practitioner 6709276264 Reassigns benefits to 3 organizations
Practice locations: Lawrenceville, GA
I20241022004565 AZ Practitioner - Nurse Practitioner 6709276264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

3372 Peachtree Rd NE
Suite 115
Atlanta, GA 30326-1963
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 18, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Jan 27, 2023 Accepting new patients
Wellcrest Therapy Psychiatric/Mental Health CurrentSince Dec 16, 2024 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Dec 16, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Jan 27, 2023 Accepting new patients
Heal Doctors Ihwa, P.C. PastSince Oct 10, 2021 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

2100 Riverside Pkwy
Lawrenceville, GA 30043
Phone (470) 495-7545

2100 Riverside Pkwy
Ste 128
Lawrenceville, GA 30043
Phone (404) 909-5547

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1861040479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 MALL RING RD STE 200",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382698",
            "telephone_number": "470-481-2034",
            "fax_number": "470-481-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 MALL RING RD STE 200",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382698",
            "telephone_number": "470-481-2034",
            "fax_number": "470-481-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMINU",
        "first_name": "OLADUNNI",
        "middle_name": "FUNMI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN214882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.