BASIRAT OLADUNNI SHOMUYIWA
NPI 1730907338
Nurse Practitioner - Psychiatric/Mental Health in Johns Creek, GA

Active since October 01, 2024PECOS Enrolled
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097(678) 895-8405 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Basirat Oladunni Shomuyiwa NPPES

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

BASIRAT OLADUNNI SHOMUYIWA (NPI 1730907338) is an individual psychiatric/mental health provider in Johns Creek, Georgia, licensed in Georgia (RN136389) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730907338
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBASIRAT OLADUNNI SHOMUYIWA
Location Address11340 LAKEFIELD DR STE 200Johns Creek, GA 30097-2456
Mailing Address1115 Herrington RdLawrenceville, GA 30044-7503 · (678) 895-8405
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 1, 2024
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
NPI 1730907338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · RN136389
11340 LAKEFIELD DR STE 200, Johns Creek, GA 30097

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

Basirat Oladunni Shomuyiwa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294222014
PECOS Enrollment IDI20251015002681
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 30097 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 20

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

In Home Supportive Care
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097
Nurse Practitioner (Family)
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097
Ambulance
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097
Registered Nurse (Psychiatric/Mental Health)
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097
Behavior Analyst
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097
In Home Supportive Care
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097
Emergency Medicine (Emergency Medical Services)
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097
Home Health
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 30097

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 Basirat Shomuyiwa's NPI number?

The NPI number for Basirat Shomuyiwa is 1730907338. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Basirat Shomuyiwa located?

Basirat Shomuyiwa practices at 11340 Lakefield Dr Ste 200, Johns Creek, GA 30097. The listed phone number is (678) 895-8405.

What is Basirat Shomuyiwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Basirat Shomuyiwa enrolled in Medicare?

Yes. Basirat Shomuyiwa is registered in the Medicare PECOS enrollment system.

What insurance does Basirat Shomuyiwa accept?

Health plans from UnitedHealthcare list Basirat Shomuyiwa 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 Basirat Shomuyiwa was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.