STEPHANIE FAGBEMI FNP
NPI 1366095135
Nurse Practitioner - Family in Woodstock, GA
About Stephanie Fagbemi Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE FAGBEMI FNP (NPI 1366095135) is an individual family provider in Woodstock, Georgia, licensed in Georgia (NCO-000003) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Fagbemi Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Fagbemi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 304 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 30189 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stephanie Fagbemi's NPI number?
The NPI number for Stephanie Fagbemi is 1366095135. It was assigned to this individual provider in the NPPES registry on July 22, 2019.
Where is Stephanie Fagbemi located?
Stephanie Fagbemi practices at 295 Molly Ln Ste A101, Woodstock, GA 30189. The listed phone number is (770) 926-4646.
What is Stephanie Fagbemi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Fagbemi enrolled in Medicare?
Yes. Stephanie Fagbemi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Fagbemi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Fagbemi reassigns Medicare benefits to American Current Care Of California, A Medical Corporation (Riverside, CA). The 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 Stephanie Fagbemi'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 Stephanie Fagbemi was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Stephanie Fagbemi, FNP · NPI 1366095135
Family physician in Woodstock, Georgia. Individual provider, active in the CMS NPPES registry since July 22, 2019.
## Identity
- **NPI:** 1366095135 (Entity type: Individual)
- **Enumerated:** July 22, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NCO-000003 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 295 MOLLY LN STE A101, Woodstock, GA 30189-3760
- **Phone:** (770) 926-4646
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Current Care Of California, A Medical Corporation (NPI 1851868020, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1366095135) · Data from the CMS NPPES public registry.