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

Q: 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.

Q: 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.

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment

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: October 18, 2026.

On this page

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 and is a graduate of Other (2020).

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

Phone(339) 440-1595

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

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

Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omosede Jemimah Nosa-oviasu Rn 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.

PECOS PAC ID749714178

PECOS Enrollment IDI20241107003468

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.

Medicare Billing Reassignments

Medicare enrollment records show Omosede Nosa-oviasu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geode Health Of Georgia LLC

18 mi

Psychiatry

227 SCENIC HWY STE A
Lawrenceville, GA 30046

Reassigned Medicare billing, Georgia enrollment
6 clinicians in this Medicare group

NPI 1477265718 (630) 912-4241

Psychiatric Professionals Of Georgia, LLC

23 mi

Psychiatry

1325 SATELLITE BLVD NW BLDG 400
Suwanee, GA 30024

Reassigned Medicare billing, Georgia enrollment
96 clinicians in this Medicare group

NPI 1396277968 (678) 263-3080

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 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 8

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

JOLI A SMITH PA-C

Physician Assistant