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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EBUNOLUWA MIKIE
NPI 1124669403
Nurse Practitioner - Psychiatric/Mental Health in Griffin, GA

Active since October 08, 2019PECOS Enrolled
410 E TAYLOR ST STE K2, GRIFFIN, GA 30223(770) 678-0038(770) 796-7726 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2026, Oct 8, 2019 (2 updates tracked since 2019).

About Ebunoluwa Mikie NPPES

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

EBUNOLUWA MIKIE (NPI 1124669403) is an individual psychiatric/mental health provider in Griffin, Georgia, licensed in Georgia (RN230157) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124669403
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEBUNOLUWA MIKIE
Location Address410 E TAYLOR ST STE K2Griffin, GA 30223-3444
Mailing Address164 Al Jennah BlvdLocust Grove, GA 30248-3753 · (770) 678-0038 · Fax (770) 796-7726
Phone(770) 678-0038
Fax(770) 796-7726
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 8, 2019
Last NPPES UpdateJuly 11, 20262 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1124669403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN230157
410 E TAYLOR ST STE K2, Griffin, GA 30223
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebunoluwa Mikie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759757180
PECOS Enrollment IDI20221026001101
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 30223 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.

BRIDGE BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
410 E TAYLOR ST STE K2
GRIFFIN, GA 30223
Spalding County (770) 678-0038

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 Ebunoluwa Mikie's NPI number?

The NPI number for Ebunoluwa Mikie is 1124669403. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Ebunoluwa Mikie located?

Ebunoluwa Mikie practices at 410 E Taylor St Ste K2, Griffin, GA 30223. The listed phone number is (770) 678-0038.

What is Ebunoluwa Mikie's specialty?

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

Is Ebunoluwa Mikie enrolled in Medicare?

Yes. Ebunoluwa Mikie is registered in the Medicare PECOS enrollment system.

What insurance does Ebunoluwa Mikie accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CareSource and UnitedHealthcare list Ebunoluwa Mikie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebunoluwa Mikie was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.