MRS. ABIODUN ADEBISI
NPI 1245714963
Nurse Practitioner - Family in Alpharetta, GA

Active since September 19, 2018PECOS Enrolled
9690 VENTANA WAY, ALPHARETTA, GA 30022(770) 623-6773 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2020, Sep 19, 2018 (2 updates tracked since 2018).

About Mrs. Abiodun Adebisi NPPES

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

MRS. ABIODUN ADEBISI (NPI 1245714963) is an individual family provider in Alpharetta, Georgia, licensed in Georgia (RN210273) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245714963
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ABIODUN ADEBISI
Location Address9690 VENTANA WAYAlpharetta, GA 30022-6394
Mailing Address501 Starling View CirGrayson, GA 30017-7935 · (678) 926-8565
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
Last NPPES UpdateMarch 4, 20202 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
✔ NPI 1245714963 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 · RN210273
9690 VENTANA WAY, Alpharetta, GA 30022

Secondary Practice Locations 2

Location 11300 Upper Hembree Rd Ste BRoswell, GA 30076-0927 · Phone (678) 736-7680
Location 2501 STARLING VIEW CIRGRAYSON, GA 30017-7935 · Phone (912) 320-7573

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Abiodun Adebisi 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

4

Medicare enrollment records show Abiodun Adebisi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia, Maryland and Texas enrollments
  • 488 clinicians in this Medicare group
Psychiatry
330 N BRAND BLVD
Glendale, CA 91203
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group

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 30022 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 4

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

General Practice
9690 VENTANA WAY
ALPHARETTA, GA 30022
Clinic/Center (Urgent Care)
9690 VENTANA WAY
ALPHARETTA, GA 30022
Physician Assistant
9690 VENTANA WAY
JOHNS CREEK, GA 30022
Clinic/Center (Urgent Care)
9690 VENTANA WAY
JOHNS CREEK, GA 30022

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 Abiodun Adebisi's NPI number?

The NPI number for Abiodun Adebisi is 1245714963. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Abiodun Adebisi located?

Abiodun Adebisi practices at 9690 Ventana Way, Alpharetta, GA 30022. The listed phone number is (770) 623-6773.

What is Abiodun Adebisi's specialty?

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

Is Abiodun Adebisi enrolled in Medicare?

Yes. Abiodun Adebisi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abiodun Adebisi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abiodun Adebisi reassigns Medicare benefits to 4 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA), Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX) and Cerebral Medical Group, A Professional Corporation (Glendale, CA). 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 Abiodun Adebisi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abiodun Adebisi accept?

Health plans from CareSource (Common Ground Healthcare) list Abiodun Adebisi 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 Abiodun Adebisi was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.