AFUSAT ADEYEMI – Psychiatric/Mental Health Nurse Practitioner, NPI 1093126708
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for AFUSAT ADEYEMI
602 GREEN ST
LAWRENCEVILLE, GA 300466054
Phone: (762) 334-3392
Fax: (762) 212-4352
Type: Location
50 Glenlake Pkwy Ste 200
Sandy Springs, GA 303283488
Phone: (833) 917-2106
Type: Location
50 GLENLAKE PKWY STE 200
SANDY SPRINGS, GA 303283488
Phone: (833) 917-2106
Type: Location
469 CORBIN OAK RDG
GRAYSON, GA 300177866
Phone: (770) 557-0041
Fax: (678) 353-6979
Type: Mailing
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: 2025-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140613001438 | I | Nurse Practitioner | GA | TBD |
| I20240927002037 | I | Nurse Practitioner | WI | TBD |
| I20241014001920 | I | Nurse Practitioner | MN | TBD |
| I20250116003825 | I | Nurse Practitioner | DC | TBD |
| I20250116003928 | I | Nurse Practitioner | CO | TBD |
| I20250117001947 | I | Nurse Practitioner | AZ | TBD |
| I20250117002147 | I | Nurse Practitioner | WA | TBD |
| I20250117002328 | I | Nurse Practitioner | HI | TBD |
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.
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 30046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CO | |
| Clinical Social Worker | VA | |
| Nurse Practitioner | CO | |
| P S Y C H I A T R Y | PA | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | TX | |
| Clinical Social Worker | CO |
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