Omotunde Adeyemi
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
NPI 1871180968 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1871180968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5014281 (NC)
- Practice address
- 2529 Hunters Meadow LN
Raleigh, NC 27606-8488 - Phone
- (513) 658-0761
- NPI assigned
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Community Health Inc
Practice addresses (Care Compare)
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111
187 High House Rd
Cary, NC 27511-6715
Phone (919) 833-3111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220121002381 | NC | Practitioner - Nurse Practitioner | 5698167765 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08200047 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current |
Accepting new patients | |
| Advance Community Health, Inc | Current |
Accepting new patients | |
| Advance Community Health, Inc | Current |
Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current |
Accepting new patients |
Locations
212 S Salem St
Apex, NC 27502
Phone (919) 362-5201
187 High House Rd
Cary, NC 27511
130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499
111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500
1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934
1011 Rock Quarry Rd
Raleigh, NC 27610
2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721
1430 S Wilmington St
Raleigh, NC 27603
1011 Rock Quarry Rd
Fl 2
Raleigh, NC 27610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5014281 | NC | Yes |
| Family Nurse Practitioner | 363LF0000X | 5014281 | NC | |
| Family Medicine Physician | 207Q00000X | F08200047 | NC |
Addresses
Primary practice location
2529 Hunters Meadow LN
Raleigh, NC 27606-8488
Mailing address
2529 Hunters Meadow LN
Raleigh, NC 27606-8488
Phone (513) 658-0761
Other practice location 1
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | omotundeadeyemi@hotmail.com | Direct |
Other providers in Raleigh, NC
- Richard D Adelman
- Abimbola Oluwatoyin Adeoti
- Adequate Home Health LLC
- Adeleke Benjamin Adewumi
- Adekanbi Chijioke Adewunmi
- Sanju Adhikari
- Susmita Adhikari
- Sanjay Narayanaswamy Adi
- Frances I Adigwe
- Walter Onyeka Adigwe
All providers in Raleigh, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.