OLAWUNMI OGUN-SEMORE – Psychiatric/Mental Health Nurse Practitioner, NPI 1104287283
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for OLAWUNMI OGUN-SEMORE
11815 NORTHFALL LN STE 1001
ALPHARETTA, GA 300097973
Phone: (425) 659-5073
Fax: (770) 502-6956
Type: Mailing
200, Wisteria Drive, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013827
Phone: (770) 219-5407
Fax: (770) 219-7102
Type: Location
200 Wisteria Dr
Gainesville, GA 305013827
Phone: (425) 659-5073
Fax: (770) 219-7102
Type: Location
3955 156th St NE
Marysville, WA 982714831
Phone: (425) 659-5073
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (425) 659-5073
Fax: (770) 219-6021
Type: Location
3000 Lenora Church Rd
Snellville, GA 300783622
Phone: (425) 659-5073
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303742616
Phone: (770) 219-8420
Fax: (770) 219-8440
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-03-24 • Largest payer in this snapshot: Lundbeck LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $19 |
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: 2025-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20160817000921 | I | Nurse Practitioner | GA | TBD |
| I20200521002037 | I | Nurse Practitioner | WA | TBD |
| I20220510002041 | I | Nurse Practitioner | CA | TBD |
| I20220830004160 | I | Nurse Practitioner | MD | TBD |
| I20250212002119 | I | Nurse Practitioner | NY | TBD |
| I20251108000471 | I | Nurse Practitioner | NM | 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 30009)
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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 | |
| Nurse Practitioner | GA | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | TX |
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