1. Home
  2. Directory
  3. Georgia
  4. Alpharetta
  5. Nurse Practitioner
  6. NPI Profile

ANNA BANNI FOFUNG NP
NPI 1760965198
Nurse Practitioner - Family in Alpharetta, GA

Active since September 11, 2018PECOS Enrolled
12875 MORNINGPARK CIR, ALPHARETTA, GA 30004(678) 943-7371 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Oct 11, 2020, Sep 11, 2018 (3 updates tracked since 2018).

About Anna Banni Fofung Np NPPES

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

ANNA BANNI FOFUNG NP (NPI 1760965198) is an individual family provider in Alpharetta, Georgia, licensed in Georgia (RN216436) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1760965198
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNA BANNI FOFUNGCredential: NP
Location Address12875 MORNINGPARK CIRAlpharetta, GA 30004-7329
Mailing Address12875 Morningpark CirAlpharetta, GA 30004-7329 · (678) 943-7371
Phone(678) 943-7371
Sole ProprietorYes
Enumeration DateSeptember 11, 2018
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1760965198 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 · RN216436✔ Licensed in TX · AP139796
12875 MORNINGPARK CIR, Alpharetta, GA 30004
Open in Google Maps ↗

Secondary Practice Location 1

Location 13118 Buttercup ByuSan Antonio, TX 78245-4950 · Phone (678) 943-7371

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Banni Fofung Np 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 30004 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 Anna Fofung's NPI number?

The NPI number for Anna Fofung is 1760965198. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Anna Fofung located?

Anna Fofung practices at 12875 Morningpark Cir, Alpharetta, GA 30004. The listed phone number is (678) 943-7371.

What is Anna Fofung's specialty?

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

Is Anna Fofung enrolled in Medicare?

Yes. Anna Fofung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Fofung was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.