MRS. OLUBUNMI TINA AYENI (NPI# 1508482746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508482746 |
| Entity Type | Individual |
| Full Name | MRS. OLUBUNMI TINA AYENI |
| Other Name | OLUBUNMI ADIJAT KUBURAT SONUGA |
| Credential | NP |
| Practice Address |
2759 Mount Zion Pkwy Jonesboro GA 30236-2568 |
| Practice Telephone | 6782898338 |
| Practice Fax Number | 7706030515 |
| Mailing Telephone | 6782898338 |
| Mailing Fax Number | 7706030515 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN174210 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | ADVANCED PRACTICE LICENSE | RN174210 | 01 |
| Street Address |
2759 MOUNT ZION PKWY |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275572190 | Oluropo A Ayeni | Internal Medicine | 2759 Mount Zion Pkwy, Suite C, Jonesboro, GA 30236-2568 | 2006-06-06 |
| 1356971568 | Cassandra Amey | Speech-Language Pathologist | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2020-01-16 |
| 1861056871 | Jasmine Merrell | Occupational Therapist | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2019-04-24 |
| 1447784210 | Alexandra Shular | Speech-Language Pathologist | 2759 Mount Zion Pkwy, Suite A, Jonesboro, GA 30236-2568 | 2017-04-18 |
| 1376928903 | Mt Zion Urgent Care Center LLC | Clinic/Center | 2759 Mount Zion Pkwy, Suite D, Jonesboro, GA 30236-2568 | 2015-07-24 |
| 1538434311 | Wellspring Family Medical Center, Inc | Clinic/Center | 2759 Mount Zion Pkwy, Suite 3, Jonesboro, GA 30236-2568 | 2012-03-13 |
| 1063794154 | Bisol Home Care Services, Inc | In Home Supportive Care | 2759 Mount Zion Pkwy, Suite D, Jonesboro, GA 30236-2568 | 2011-09-14 |
| 1043448392 | Covenant Medical Diagnostics | Clinical Medical Laboratory | 2759 Mount Zion Pkwy, Suite A/b, Jonesboro, GA 30236-2568 | 2009-06-25 |
| 1710129465 | Michael O Oyerinde | Clinical Medical Laboratory | 2759 Mount Zion Pkwy, Suite A/b, Jonesboro, GA 30236-2568 | 2009-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.