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

Adeyemisi O Akinnawo

Individual provider Gerontology Nurse Practitioner · NPI 1225860976

Adeyemisi O Akinnawo is a Nurse Practitioner in Decatur, Georgia. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (201) 898-9693
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2418 Warrington Pl, Venus, TX 76084-3153 — (201) 898-9693

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN244529 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN244529 (GA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN244529 (GA)

Record details

NPI number1225860976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Decatur