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

Afusat Adeyemi

Individual provider Gerontology Nurse Practitioner · NPI 1093126708

Afusat Adeyemi is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2019, 7 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Georgia.

Years since qualifying
7
Licensed in
CO, GA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

602 Green St
Lawrenceville, GA 30046-6054
Phone: (762) 334-3392
Fax: (762) 212-4352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Glenlake Pkwy Ste 200, Sandy Springs, GA 30328-3488 — (833) 917-2106

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence C-APN0102132-C-NP (CO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN202394 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN202394 (GA)

Record details

NPI number1093126708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2014
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address469 Corbin Oak Rdg, Grayson, GA 30017-7866

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lawrenceville