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KUDIRAT MUMUNEY N.P.
NPI 1093708869
Nurse Practitioner - Family in Griffin, GA

Active since August 26, 2005PECOS Enrolled
315 S 9TH ST, GRIFFIN, GA 30224(770) 229-3048 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kudirat Mumuney N.p. NPPES

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

KUDIRAT MUMUNEY N.P. (NPI 1093708869) is an individual family provider in Griffin, Georgia, licensed in Georgia (RN146636) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093708869
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKUDIRAT MUMUNEYCredential: N.P.
Location Address315 S 9TH STGriffin, GA 30224-4111
Mailing Address124 Mcelroy RdFayetteville, GA 30214-4317 · (678) 817-0688
Phone(770) 229-3048
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateDecember 17, 2009
✔ NPI 1093708869 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 · RN146636
315 S 9TH ST, Griffin, GA 30224
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP41499GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kudirat Mumuney N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kudirat Mumuney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Positive Impact Health Centers Inc
49 mi
Primary Care
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group
NPI 1790861995 (770) 962-8396
Glynn County Board Of Health
217 mi
Public Health or Welfare
2747 4TH ST
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1164429692 (912) 264-3236

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 30224 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DEON TYWONN WILLIS MPH
Case Manager/Care Coordinator
315 S 9TH ST
GRIFFIN, GA 30224
Spalding County (770) 229-3048

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 Kudirat Mumuney's NPI number?

The NPI number for Kudirat Mumuney is 1093708869. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Kudirat Mumuney located?

Kudirat Mumuney practices at 315 S 9th St, Griffin, GA 30224. The listed phone number is (770) 229-3048.

What is Kudirat Mumuney's specialty?

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

Is Kudirat Mumuney enrolled in Medicare?

Yes. Kudirat Mumuney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kudirat Mumuney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kudirat Mumuney reassigns Medicare benefits to 2 organizations: Positive Impact Health Centers Inc (Duluth, GA) and Glynn County Board Of Health (Brunswick, GA). 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 Kudirat Mumuney'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 Kudirat Mumuney was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.