OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) – Family Nurse Practitioner, NPI 1043946189

OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) is a healthcare provider. based in Powder springs, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN179748 (GA). The NPI Number for OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) is 1043946189

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP)
NPI
1043946189
Phone
(404) 936-2238
Address
5467 CATHERS CREEK DR
Enumeration Date
30 July 2022
Last Update Date
30 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042123400
Graduation Year
2024 (2 years ago)
PAC ID
6709373343
Group Practice PAC ID
8123327061
Professional Enrollment ID
I20251016001609
Address ID
GA300343831DE3200XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

Provider Addresses for OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP)

  • 5467 CATHERS CREEK DR

    POWDER SPRINGS, GA 301277802

    Phone: (404) 936-2238

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251016001609INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123327061View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineGA
Nurse PractitionerFL
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
Internal MedicineGA
-GA
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) listed with a National Provider Identifier?
Yes — OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) has NPI 1043946189 on file in the registry.
Would OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) appear as active to a payer?
You can treat OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP)?
OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP)?
Travel planning: use Powder Springs, Georgia as the reference point for OLUWAFUNKE OLUWAFUNKE CHUKUMAH (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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