MARIAM DOSUNMU PMHNP-BC
NPI 1912460429
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA

Q: What is Mariam Dosunmu's NPI number?

The NPI number for Mariam Dosunmu is 1912460429. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Q: What is Mariam Dosunmu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mariam Dosunmu was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 11, 2019PECOS Enrolled

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2021, Apr 11, 2019 (2 updates tracked since 2019).

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About Mariam Dosunmu Pmhnp-bc NPPES

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

MARIAM DOSUNMU PMHNP-BC (NPI 1912460429) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (RN235911) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912460429

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARIAM DOSUNMUCredential: PMHNP-BC

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694

Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-1000

Phone(678) 312-1000

Sole ProprietorNo

Enumeration DateApril 11, 2019

Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2021

✔ NPI 1912460429 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 GA · RN235911✔ Licensed in VA · 0024177469

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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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)

Mariam Dosunmu Pmhnp-bc 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 30046 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.

DR. ROBERT E BLACK III MD

Anesthesiology