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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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.