AISHA ADIGUN
NPI 1861271975
Nurse Practitioner - Psychiatric/Mental Health in Stone Mountain, GA

NPI Status: Active since September 27, 2023

Contact Information

5385 FIVE FORKS TRICKUM RD STE F
STONE MOUNTAIN, GA
ZIP 30087
Phone: (770) 766-3003
Fax: (770) 599-5966

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance
  • PECOS Enrolled

About AISHA ADIGUN

This page provides the complete NPI Profile along with additional information for Aisha Adigun, a provider established in Stone Mountain, Georgia with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1861271975 assigned on September 2023. The practitioner's primary taxonomy code is 363LP0808X with license number RN286228 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1861271975
Provider Name
AISHA ADIGUN
Gender
Female
Entity Type
Individual
Location Address
5385 FIVE FORKS TRICKUM RD STE F STONE MOUNTAIN, GA 30087
Location Phone
(770) 766-3003
Location Fax
(770) 599-5966
Mailing Address
5385 FIVE FORKS TRICKUM RD STE F STONE MOUNTAIN, GA 30087
Mailing Phone
(770) 766-3003
Mailing Fax
(770) 599-5966
Is Sole Proprietor?
No
Enumeration Date
09-27-2023
Last Update Date
12-19-2024
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A nurse practitioner (NP) like Aisha Adigun is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN286228
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO
  • Value Silver 3000 Medical Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Aisha Adigun is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30087 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.06
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for AISHA ADIGUN

  • 5 out of 5 stars - Review by Kyle on December 27, 2023

    Very pleasant and knowledgeable, you can tell she loves what she does. Great overall experience.

  • NPI NPI Number Validation

    How NPI Validation Works

    The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

    To verify the NPI 1861271975, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

    Digit-by-digit view

    Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

    Pos 1
    1
    Doubled → 2
    Pos 2
    8
    Unchanged
    Pos 3
    6
    Doubled → 12 → 1 + 2
    Pos 4
    1
    Unchanged
    Pos 5
    2
    Doubled → 4
    Pos 6
    7
    Unchanged
    Pos 7
    1
    Doubled → 2
    Pos 8
    9
    Unchanged
    Pos 9
    7
    Doubled → 14 → 1 + 4
    Check
    5
    Target digit
    Regular digit Doubled digit Check digit

    Step 1: Double every other digit from the right

    Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

    1 → 2 6 → 12 → 3 2 → 4 1 → 2 7 → 14 → 5

    Step 2: Add all digits plus the NPI constant

    Add the transformed values, the unchanged digits, and the constant 24.

    2 + 8 + 1 + 2 + 1 + 4 + 7 + 2 + 9 + 1 + 4 + 24 = 65

    Step 3: Find the amount needed to reach the next multiple of 10

    The next multiple of ten after 65 is 70. The difference is the calculated check digit.

    70 - 65 = 5
    This NPI is valid
    The calculated check digit is 5, which matches the last digit of 1861271975.

    Other Providers at the Same Location


    The following 1 provider is registered at the same or a nearby location.

    Clinic/Center (Primary Care)
    5385 FIVE FORKS TRICKUM RD STE F
    STONE MOUNTAIN, GA 30087

    Frequently Asked Questions

    The NPI number assigned to this healthcare provider is 1861271975, enumerated as an "individual" on September 27, 2023.

    The provider is located at 5385 FIVE FORKS TRICKUM RD STE F STONE MOUNTAIN, GA 30087 and the phone number is (770) 766-3003.

    Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

    The provider might be accepting Accepts: BridgeSpan Health Company, CareSource, Regence. Please consult your insurance carrier or call the provider to verify.