KUDIRAT MUMUNEY (N.P.) – Family Nurse Practitioner, NPI 1093708869
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KUDIRAT MUMUNEY (N.P.)
315, South 9th Street, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302244111
Phone: (770) 229-3048
Type: Location
124 MCELROY RD
FAYETTEVILLE, GA 302144317
Phone: (678) 817-0688
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $962.
Total Amount is formed as General ($962) + Research ($0) + Ownership ($0) = $962.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ViiV Healthcare Company ($377).
Total Amount
$962
General + Research + Ownership
Payments
37
Total payment records
General Amount
$962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $377 |
| Gilead Sciences, Inc. | $300 |
| Merck Sharp & Dohme LLC | $125 |
| Janssen Biotech, Inc. | $120 |
| COLOPLAST CORP | $40 |
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: 2010-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100817000018 | I | Nurse Practitioner | GA | 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 30224)
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