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MR. OLUFEMI OLAWALE FANUSI
NPI 1003561705
Nurse Practitioner - Family in Stonecrest, GA

Active since February 21, 2022PECOS Enrolled
4202 KENSINGTON CIR, STONECREST, GA 30038(678) 680-9209 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Olufemi Olawale Fanusi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OLUFEMI OLAWALE FANUSI (NPI 1003561705) is an individual family provider in Stonecrest, Georgia, licensed in Georgia (RN285470) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003561705
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. OLUFEMI OLAWALE FANUSI
Location Address4202 KENSINGTON CIRStonecrest, GA 30038-3239
Mailing Address4202 Kensington CirStonecrest, GA 30038-3239 · (678) 680-9209
Phone(678) 680-9209
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1003561705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN285470
4202 KENSINGTON CIR, Stonecrest, GA 30038
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Olufemi Olawale Fanusi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284015215
PECOS Enrollment IDI20220721001872
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Olufemi Fanusi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pruitthealth Hospice, Inc.
17 mi
Hospice Care, Community Based
1626 JEURGENS CT
Norcross, GA 30093
  • Reassigned Medicare billing, Georgia enrollment
  • 47 clinicians in this Medicare group
NPI 1316985336 (404) 292-2081
Resurgia Health Solutions PC
18 mi
Internal Medicine
1100 PEACHTREE ST NE, SUITE 200
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1851702153 (404) 445-5304
Py Medical Services Of Ny PLLC
559 mi
Internal Medicine
3090 FIVE POINTS HARTFORD RD
Fowler, OH 44418
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1760199988 (330) 772-5253
Longevity Clinical Ltc Associates Of Texas, PLLC
899 mi
Geriatric Medicine
8000 W IH 10 STE 600
San Antonio, TX 78230
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1720769698 (561) 815-2427

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olufemi Fanusi's NPI number?

The NPI number for Olufemi Fanusi is 1003561705. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Where is Olufemi Fanusi located?

Olufemi Fanusi practices at 4202 Kensington Cir, Stonecrest, GA 30038. The listed phone number is (678) 680-9209.

What is Olufemi Fanusi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olufemi Fanusi enrolled in Medicare?

Yes. Olufemi Fanusi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olufemi Fanusi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olufemi Fanusi reassigns Medicare benefits to 4 organizations: Pruitthealth Hospice, Inc. (Norcross, GA), Resurgia Health Solutions PC (Atlanta, GA), Py Medical Services Of Ny PLLC (Fowler, OH) and Longevity Clinical Ltc Associates Of Texas, PLLC (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olufemi Fanusi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olufemi Fanusi was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.