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STEPHANIE FAGBEMI FNP
NPI 1366095135
Nurse Practitioner - Family in Woodstock, GA

Active since July 22, 2019PECOS Enrolled
295 MOLLY LN STE A101, WOODSTOCK, GA 30189(770) 926-4646 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1366095135
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE FAGBEMICredential: FNP
Location Address295 MOLLY LN STE A101Woodstock, GA 30189-3760
Mailing Address295 Molly Ln Ste 150Woodstock, GA 30189-3783
Phone(770) 926-4646
Sole ProprietorNo
Enumeration DateJuly 22, 2019
✔ NPI 1366095135 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 · NCO-000003
295 MOLLY LN STE A101, Woodstock, GA 30189
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Fagbemi Fnp 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.

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.

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.

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.

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.