SHITTU FAMILY PRACTICE,LLC
NPI 1194331439
Nurse Practitioner - Family in Fayetteville, GA

Q: What is Shittu Family Practice,llc's NPI number?

The NPI number for Shittu Family Practice,llc is 1194331439. It was assigned to this organization in the NPPES registry on September 22, 2020.

Q: What is Shittu Family Practice,llc's specialty?

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

Active since September 22, 2020CLIA 11D2217787 · Waiver

213 BANKS RD, FAYETTEVILLE, GA 30214(770) 629-1917 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2021, Apr 26, 2021, Apr 19, 2021 and 1 more (4 updates tracked since 2020).

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About Shittu Family Practice,llc NPPES

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

SHITTU FAMILY PRACTICE,LLC (NPI 1194331439) is a healthcare organization registered as a family in Fayetteville, Georgia and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Tawa Sitou, Fnp, as its authorized official.

NPPES Registry Identity

NPI1194331439

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSHITTU FAMILY PRACTICE,LLC

Location Address213 BANKS RDFayetteville, GA 30214

Mailing Address213 Banks StaFayetteville, GA 30214-7505 · (770) 629-1917

Phone(770) 629-1917

Organization SubpartNo

Authorized OfficialTawa SitouFnp · (770) 629-1917

Enumeration DateSeptember 22, 2020

Last NPPES UpdateMay 17, 20214 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1194331439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

213 BANKS RD, Fayetteville, GA 30214

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2217787

Shittu Family Practice, LLC · Fayetteville, GA

Active · expires Mar 23, 2027

CLIA Number11D2217787

Laboratory TypePhysician Office

Certificate Effective DateMarch 24, 2025

Certificate Expiration DateMarch 23, 2027

Laboratory DirectorSitou Tawa Kalytou

Laboratory Phone(347) 784-5788

Laboratory LocationShittu Family Practice, LLC213 Banks Station, Fayetteville, GA 30214

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Shittu Family Practice,llc's NPI number?

The NPI number for Shittu Family Practice,llc is 1194331439. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Shittu Family Practice,llc located?

Shittu Family Practice,llc is located at 213 Banks Rd, Fayetteville, GA 30214. The listed phone number is (770) 629-1917.

What is Shittu Family Practice,llc's specialty?

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

Does Shittu Family Practice,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2217787) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shittu Family Practice,llc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shittu Family Practice,llc 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 Shittu Family Practice,llc was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.