LATIFAT BOLAJOKO ASEMOTA (FNP) – Primary Care Nurse Practitioner, NPI 1275918781

LATIFAT BOLAJOKO ASEMOTA (FNP) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 218849 (GA). The NPI Number for LATIFAT BOLAJOKO ASEMOTA (FNP) is 1275918781

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
LATIFAT BOLAJOKO ASEMOTA (FNP)
NPI
1275918781
Phone
(678) 401-8229
Address
410 NOTTINGHAM DR
Enumeration Date
26 July 2015
Last Update Date
13 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046161000
Graduation Year
2014 (12 years ago)
PAC ID
3476840562
Group Practice PAC ID
4981501814
Professional Enrollment ID
I20160916001079
Address ID
GA303033031AT80XXXSEXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for LATIFAT BOLAJOKO ASEMOTA (FNP)

  • 410 NOTTINGHAM DR

    MARIETTA, GA 300662542

    Phone: (678) 401-8229

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-03-27 • Largest payer in this snapshot: PFIZER INC. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$26
View all Open Payments →|Open Payments Risk Radar →

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: 2016-09-16

PECOS data refreshed: 2026-05-27

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
I20160916001079INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 30066)

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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: 4981501814View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Interventional Radiology, Diagnostic RadiologyKY
Gastroenterology, Internal MedicineGA
-GA
Plastic And Reconstructive SurgeryGA
Oral Surgery, Maxillofacial SurgeryGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
P S Y C H I A T R YGA
Physician AssistantGA
Internal Medicine, Infectious DiseaseGA

Reviews

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Frequently asked questions

What is the standard ID for LATIFAT BOLAJOKO ASEMOTA (FNP) in the U.S.?
In the U.S., LATIFAT BOLAJOKO ASEMOTA (FNP) is identified by NPI 1275918781.
Should I treat LATIFAT BOLAJOKO ASEMOTA (FNP) as an active provider?
Patients and plans typically see LATIFAT BOLAJOKO ASEMOTA (FNP) as active in the national extract.
Which specialty label fits LATIFAT BOLAJOKO ASEMOTA (FNP)?
NPPES ties LATIFAT BOLAJOKO ASEMOTA (FNP) to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to LATIFAT BOLAJOKO ASEMOTA (FNP)?
LATIFAT BOLAJOKO ASEMOTA (FNP) shows a connection to Marietta, Georgia in registry-derived data.
Who maintains LATIFAT BOLAJOKO ASEMOTA (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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