DR. MUTIAT AGBASIONWE MD
NPI 1679142111
Family Medicine in Monroe, GA

Active since June 19, 2021PECOS EnrolledAccepts Medicare Assignment
2161 W SPRING ST STE A, MONROE, GA 30655(770) 267-8464 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Sep 10, 2024, Jun 19, 2021 (3 updates tracked since 2021).

About Dr. Mutiat Agbasionwe Md NPPES

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

DR. MUTIAT AGBASIONWE MD (NPI 1679142111) is an individual family medicine provider in Monroe, Georgia, licensed in Georgia (98698) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1679142111
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MUTIAT AGBASIONWECredential: MD
Location Address2161 W SPRING ST STE AMonroe, GA 30655-3196
Mailing Address6303 Timber Valley Way SwOakwood, GA 30566-0220
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 19, 2021
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1679142111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 98698
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2161 W SPRING ST STE A, Monroe, GA 30655

Other Names 1

Former Name (1)Dr. Mutiat Enikanolaiye Md

Secondary Practice Location 1

Location 1743 Spring Street, Suite 710Gainesville, GA 30501 · Phone (770) 219-8730

Accepted Insurance

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

Dr. Mutiat Agbasionwe Md 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 ID1759782535
PECOS Enrollment IDI20240809003100
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

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.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 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 6

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

Family Medicine
2161 W SPRING ST STE A
MONROE, GA 30655
Family Medicine
2161 W SPRING ST STE A
MONROE, GA 30655
Family Medicine
2161 W SPRING ST STE A
MONROE, GA 30655
Internal Medicine
2161 W SPRING ST STE A
MONROE, GA 30655
Nurse Practitioner (Family)
2161 W SPRING ST STE A
MONROE, GA 30655
Family Medicine
2161 W SPRING ST STE A
MONROE, GA 30655

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 Mutiat Agbasionwe's NPI number?

The NPI number for Mutiat Agbasionwe is 1679142111. It was assigned to this individual provider in the NPPES registry on June 19, 2021. The provider is also known as Dr. Mutiat Enikanolaiye MD.

Where is Mutiat Agbasionwe located?

Mutiat Agbasionwe practices at 2161 W Spring St Ste A, Monroe, GA 30655. The listed phone number is (770) 267-8464.

What is Mutiat Agbasionwe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mutiat Agbasionwe enrolled in Medicare?

Yes. Mutiat Agbasionwe 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.

What insurance does Mutiat Agbasionwe accept?

Health plans from Alliant Health Plans, Inc. list Mutiat Agbasionwe 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.

Is Mutiat Agbasionwe affiliated with any hospitals?

According to CMS data, Mutiat Agbasionwe is affiliated with Piedmont Walton Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Mutiat Agbasionwe was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.