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DAWN AIESHA PRINTUP FNP-BC
NPI 1124895768
Nurse Practitioner - Family in Fayetteville, GA

Active since December 05, 2023PECOS EnrolledAccepts Medicare Assignment
1279 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214(770) 719-5710 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Mar 14, 2025, Dec 5, 2023 (3 updates tracked since 2023).

About Dawn Aiesha Printup Fnp-bc NPPES

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

DAWN AIESHA PRINTUP FNP-BC (NPI 1124895768) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (APRN-NP233945) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124895768
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN AIESHA PRINTUPCredential: FNP-BC
Location Address1279 HIGHWAY 54 W STE 100Fayetteville, GA 30214-4551
Mailing Address1948 Old Ocilla RdTifton, GA 31794-1644 · (229) 391-3500
Phone(770) 719-5710
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 5, 2023
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1124895768 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 · APRN-NP233945
1279 HIGHWAY 54 W STE 100, Fayetteville, GA 30214
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11130 Hurricane Shoals Rd NE Ste 2250Lawrenceville, GA 30043-4890 · Phone (229) 391-3500 · Fax (770) 910-7088
Location 2484 Irvin CtDecatur, GA 30030-5406 · Phone (229) 391-3500 · Fax (678) 823-9750
Location 310600 Lochridge BlvdCovington, GA 30014-4411 · Phone (229) 391-3500 · Fax (229) 386-1016
Location 41060 Gaines School RdAthens, GA 30605-3198 · Phone (229) 391-3500 · Fax (706) 850-5352

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

Dawn Aiesha Printup Fnp-bc 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 ID345716171
PECOS Enrollment IDI20260417003430
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 30214 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.

Other Providers at the Same Location NPPES 6

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

DR. DAMIEN M HANSRA MD
Internal Medicine (Medical Oncology)
1279 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7365
TERRI MARIE ALEXANDER PA
Physician Assistant
1279 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5710
JANAI LASHANA GIBSON PA-C
Physician Assistant (Surgical)
1279 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5710
MIO YANAGISAWA
Surgery
1279 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5710
TUMESHA LASHAY WILLIAMS NP
Nurse Practitioner (Obstetrics & Gynecology)
1279 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5710
MRS. REBECCA CARROS AMBROSE CNM
Advanced Practice Midwife
1279 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5710

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 Dawn Printup's NPI number?

The NPI number for Dawn Printup is 1124895768. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Dawn Printup located?

Dawn Printup practices at 1279 Highway 54 W Ste 100, Fayetteville, GA 30214. The listed phone number is (770) 719-5710.

What is Dawn Printup's specialty?

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

Is Dawn Printup enrolled in Medicare?

Yes. Dawn Printup 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 Dawn Printup was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.