Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shittu Family Practice, LLC

Organization Family Medicine Physician · NPI 1194331439

Shittu Family Practice, LLC is a Family Medicine Physician in Fayetteville, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

213 Banks Rd
Fayetteville, GA 30214
Phone: (770) 629-1917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1194331439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tawa Sitou — Fnp · (770) 629-1917
NPI enumeratedSeptember 22, 2020
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address213 Banks Sta, Fayetteville, GA 30214-7505

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