OMOSEDE JEMIMAH NOSA-OVIASU RN
NPI 1962083634
Nurse Practitioner - Psychiatric/Mental Health in Conyers, GA

Active since April 15, 2021PECOS Enrolled
1397 MANCHESTER DR NE, CONYERS, GA 30012(339) 440-1595 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Omosede Jemimah Nosa-oviasu Rn NPPES

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

OMOSEDE JEMIMAH NOSA-OVIASU RN (NPI 1962083634) is an individual psychiatric/mental health provider in Conyers, Georgia, licensed in Georgia (RN241611) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962083634
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOMOSEDE JEMIMAH NOSA-OVIASUCredential: RN
Location Address1397 MANCHESTER DR NEConyers, GA 30012
Mailing Address985 Spanish Moss TrlLoganville, GA 30052-6733 · (339) 440-1595
Sole ProprietorYes
Enumeration DateApril 15, 2021
NPPES CertifiedMarch 24, 2021
NPI 1962083634 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
License Licensed in GA · RN241611
1397 MANCHESTER DR NE, Conyers, GA 30012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Omosede Jemimah Nosa-oviasu Rn 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 30012 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 6

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

Psychologist (Clinical)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Counselor (Professional)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Psychologist (Prescribing (Medical))
1397 MANCHESTER DR NE
CONYERS, GA 30012
Psychologist (Clinical)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Nurse Practitioner (Psychiatric/Mental Health)
1397 MANCHESTER DR NE
CONYERS, GA 30012

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 Omosede Nosa-oviasu's NPI number?

The NPI number for Omosede Nosa-oviasu is 1962083634. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Omosede Nosa-oviasu located?

Omosede Nosa-oviasu practices at 1397 Manchester Dr NE, Conyers, GA 30012. The listed phone number is (339) 440-1595.

What is Omosede Nosa-oviasu's specialty?

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

Is Omosede Nosa-oviasu enrolled in Medicare?

Yes. Omosede Nosa-oviasu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omosede Nosa-oviasu was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.