MS. SHODETTA REMILEKUN BUN-MANSARAY FNP-C
NPI 1942685847
Nurse Practitioner - Family in Loganville, GA
About Ms. Shodetta Remilekun Bun-mansaray Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHODETTA REMILEKUN BUN-MANSARAY FNP-C (NPI 1942685847) is an individual family provider in Loganville, Georgia, licensed in Georgia (RN267458) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Shodetta Remilekun Bun-mansaray Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOGANVILLE, GA 30052
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 Shodetta Bun-mansaray's NPI number?
The NPI number for Shodetta Bun-mansaray is 1942685847. It was assigned to this individual provider in the NPPES registry on July 21, 2015.
Where is Shodetta Bun-mansaray located?
Shodetta Bun-mansaray practices at 2720 Loganville Hwy, Loganville, GA 30052. The listed phone number is (866) 389-2727.
What is Shodetta Bun-mansaray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shodetta Bun-mansaray enrolled in Medicare?
Yes. Shodetta Bun-mansaray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Shodetta Bun-mansaray affiliated with any hospitals?
According to CMS data, Shodetta Bun-mansaray is affiliated with Piedmont Athens Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Shodetta Bun-mansaray was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Shodetta Remilekun Bun-Mansaray, FNP-C · NPI 1942685847
Family physician in Loganville, Georgia. Individual provider, active in the CMS NPPES registry since July 21, 2015.
## Identity
- **NPI:** 1942685847 (Entity type: Individual)
- **Enumerated:** July 21, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN267458 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2720 LOGANVILLE HWY, Loganville, GA 30052-7715
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942685847) · Data from the CMS NPPES public registry.