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MODUPEOLA BRISIBE
NPI 1376993519
Nurse Practitioner - Family in Marietta, GA

Active since June 19, 2016PECOS EnrolledAccepts Medicare Assignment
280 COBB PKWY S STE 60, MARIETTA, GA 30060(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 3, 2019, Jun 19, 2016 (2 updates tracked since 2016).

About Modupeola Brisibe NPPES

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

MODUPEOLA BRISIBE (NPI 1376993519) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN192902) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1376993519
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMODUPEOLA BRISIBE
Location Address280 COBB PKWY S STE 60Marietta, GA 30060-6531
Mailing Address2145 Wilmington Cir NeMarietta, GA 30062-1694 · (678) 570-9637
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 19, 2016
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1376993519 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
Licenses✔ Licensed in GA · RN192902✔ Licensed in GA · 192602
280 COBB PKWY S STE 60, Marietta, GA 30060
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Piedmont RdMarietta, GA 30066-3636 · Phone (866) 389-2727

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

Modupeola Brisibe 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 ID9436420866
PECOS Enrollment IDI20170803002316
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services46 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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 2

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

SHANGEETHA BALAKUMAR MD
Family Medicine
280 COBB PKWY S STE 60
MARIETTA, GA 30060
Cobb County (678) 820-7373
VARSHA NIRAV PATEL M.D.
Internal Medicine (Hospice and Palliative Medicine)
280 COBB PKWY S STE 60
MARIETTA, GA 30060
Cobb County (888) 405-6396

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 Modupeola Brisibe's NPI number?

The NPI number for Modupeola Brisibe is 1376993519. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Where is Modupeola Brisibe located?

Modupeola Brisibe practices at 280 Cobb Pkwy S Ste 60, Marietta, GA 30060. The listed phone number is (888) 663-6331.

What is Modupeola Brisibe's specialty?

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

Is Modupeola Brisibe enrolled in Medicare?

Yes. Modupeola Brisibe 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.

Is Modupeola Brisibe affiliated with any hospitals?

According to CMS data, Modupeola Brisibe is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Modupeola Brisibe was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.