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FALILAT BUNMI HAMBOLU
NPI 1053198705
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA

Active since September 14, 2023PECOS EnrolledAccepts Medicare Assignment
1615 RIVERSHYRE PKWY, LAWRENCEVILLE, GA 30043(678) 510-8749 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Falilat Bunmi Hambolu NPPES

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

FALILAT BUNMI HAMBOLU (NPI 1053198705) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (RN274940) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053198705
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFALILAT BUNMI HAMBOLU
Location Address1615 RIVERSHYRE PKWYLawrenceville, GA 30043-6429
Mailing Address3073 Panthersville RdDecatur, GA 30034-3828 · (404) 243-1031
Phone(678) 510-8749
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 14, 2023
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1053198705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN274940
Also ListedRegistered NurseTaxonomy 163W00000X · License RN274940 (GA)
1615 RIVERSHYRE PKWY, Lawrenceville, GA 30043
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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 and accepts Medicare assignment

Falilat Bunmi Hambolu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587150677
PECOS Enrollment IDI20251228000027
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 30043 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 Falilat Hambolu's NPI number?

The NPI number for Falilat Hambolu is 1053198705. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Falilat Hambolu located?

Falilat Hambolu practices at 1615 Rivershyre Pkwy, Lawrenceville, GA 30043. The listed phone number is (678) 510-8749.

What is Falilat Hambolu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Falilat Hambolu enrolled in Medicare?

Yes. Falilat Hambolu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Falilat Hambolu was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.