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

Basirat Oladunni Shomuyiwa

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1730907338

Basirat Oladunni Shomuyiwa is a Nurse Practitioner in Johns Creek, Georgia. Qualified in 2023, 3 years ago. Practices with Vitae Health Medical Georgia LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024

Practice location Address checks out

11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456
Phone: (678) 895-8405
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN136389 (GA)

Record details

NPI number1730907338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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)
Group practice Vitae Health Medical Georgia Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johns Creek