OLABISI FASHUYI FAFORE
NPI 1841017944
Nurse Practitioner - Psychiatric/Mental Health in Johns Creek, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olabisi Fashuyi Fafore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Olabisi Fafore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33130
- Reassigned Medicare billing, Alaska, Georgia, New York, Texas and Washington enrollments
- 53 clinicians in this Medicare group
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
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 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.
Which organizations bill Medicare for Olabisi Fafore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olabisi Fafore reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olabisi Fafore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olabisi Fafore accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health and UnitedHealthcare list Olabisi Fafore 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 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 14 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.
# Olabisi Fashuyi Fafore · NPI 1841017944
Psychiatric/Mental Health physician in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since September 21, 2024.
## Identity
- **NPI:** 1841017944 (Entity type: Individual)
- **Enumerated:** September 21, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15240800 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11340 LAKEFIELD DR, Johns Creek, GA 30097-1714
- **Phone:** (470) 242-6344
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1841017944) · Data from the CMS NPPES public registry.