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

Mr. Sunday Imafidon

Individual provider Family Nurse Practitioner · NPI 1801487293

Mr. Sunday Imafidon is a Nurse Practitioner in Griffin, Georgia. Qualified in 2020, 6 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

619 S 8th St Ste 301
Griffin, GA 30224-4260
Phone: (770) 229-6072
Fax: (770) 229-2111
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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 · Licence RN230604 (GA)

Record details

NPI number1801487293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2021
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021
Mailing address619 S 8th St Ste 301, Griffin, GA 30224-4260

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Griffin