MRS. ABIODUN ADEBISI – Family Nurse Practitioner, NPI 1245714963
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. ABIODUN ADEBISI
1300 Upper Hembree Rd Ste B
Roswell, GA 300760927
Phone: (678) 736-7680
Type: Location
501 STARLING VIEW CIR
GRAYSON, GA 300177935
Phone: (912) 320-7573
Type: Location
501, Starling View Circle, Grayson, Gwinnett County, Georgia, 30017, United States
GRAYSON, GA 300177935
Phone: (678) 926-8565
Type: Mailing
9690 VENTANA WAY
ALPHARETTA, GA 300226394
Phone: (770) 623-6773
Type: Location
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: 2024-06-14
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 |
|---|---|---|---|---|
| I20190802003122 | I | Nurse Practitioner | GA | TBD |
| I20210512000810 | I | Nurse Practitioner | GA | TBD |
| I20211026000112 | I | Nurse Practitioner | FL | TBD |
| I20211223001329 | I | Nurse Practitioner | TX | TBD |
| I20240119001009 | I | Nurse Practitioner | AZ | TBD |
| I20240614002487 | I | Nurse Practitioner | MD | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30076)
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Group practice members
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