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OLABISI FASHUYI FAFORE
NPI 1841017944
Nurse Practitioner - Psychiatric/Mental Health in Johns Creek, GA

Active since September 21, 2024PECOS Enrolled
11340 LAKEFIELD DR, JOHNS CREEK, GA 30097(470) 242-6344 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2025, Sep 21, 2024 (2 updates tracked since 2024).

About Olabisi Fashuyi Fafore NPPES

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

OLABISI FASHUYI FAFORE (NPI 1841017944) is an individual psychiatric/mental health provider in Johns Creek, Georgia, licensed in New Jersey (26NJ15240800) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1841017944
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLABISI FASHUYI FAFORE
Location Address11340 LAKEFIELD DRJohns Creek, GA 30097-1714
Mailing Address1183 Lanier Springs DrBuford, GA 30518-7272 · (612) 227-4763
Phone(470) 242-6344
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 21, 2024
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1841017944 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
Licenses✔ Licensed in NJ · 26NJ15240800✔ Licensed in GA · RN297527
11340 LAKEFIELD DR, Johns Creek, GA 30097
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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)

Olabisi Fashuyi Fafore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244750792
PECOS Enrollment IDI20260312003579
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 8

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

M. EUGENIA COUCHOUD-WILKINSON M.S., R.D.N, L.D.
Dietitian, Registered
11340 LAKEFIELD DR, SUITE 200
JOHNS CREEK, GA 30097
Gwinnett County (678) 407-2159
SHANTESE COLEMAN
Nurse's Aide
11340 LAKEFIELD DR
JOHNS CREEK, GA 30097
Gwinnett County (470) 670-1014
MR. WESLEY GREGORY MITCHELL JR. MSA,CSA
Physician Assistant (Surgical)
11340 LAKEFIELD DR, SUITE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 629-8289
RACHEL BROWN LCSW
Social Worker (Clinical)
11340 LAKEFIELD DR
JOHNS CREEK, GA 30097
Gwinnett County (888) 515-3834
BRITTANY LAUREN CUTLER LMSW
Social Worker
11340 LAKEFIELD DR
JOHNS CREEK, GA 30097
Gwinnett County (404) 369-3838
MRS. ABIMBOLA KADIRI NP
Nurse Practitioner (Psychiatric/Mental Health)
11340 LAKEFIELD DR
JOHNS CREEK, GA 30097
Gwinnett County (308) 291-4262
EMPIRE HEALTH CARE SERVICES
Home Health
11340 LAKEFIELD DR, STE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 765-0033
HIGHLAND SURGICAL ASSISTANT, LLC
Physician Assistant (Surgical)
11340 LAKEFIELD DR, SUITE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 629-8289

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 Olabisi Fafore's NPI number?

The NPI number for Olabisi Fafore is 1841017944. It was assigned to this individual provider in the NPPES registry on September 21, 2024.

Where is Olabisi Fafore located?

Olabisi Fafore practices at 11340 Lakefield Dr, Johns Creek, GA 30097. The listed phone number is (470) 242-6344.

What is Olabisi Fafore's specialty?

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

Is Olabisi Fafore enrolled in Medicare?

Yes. Olabisi Fafore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olabisi Fafore 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.