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

MS. Shodetta Remilekun Bun-Mansaray, FNP-C

Individual provider Family Nurse Practitioner · NPI 1942685847

MS. Shodetta Remilekun Bun-Mansaray, FNP-C is a Nurse Practitioner in Loganville, Georgia. Qualified in 2014, 12 years ago. Practices with Advantage Behavioral Health Systems, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Virginia.

Years since qualifying
12
Licensed in
GA, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2720 Loganville Hwy
Loganville, GA 30052-7715
Phone: (866) 389-2727
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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 RN267458 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024172278 (VA)

Record details

NPI number1942685847
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESJuly 21, 2022
Certification dateFebruary 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advantage Behavioral Health Systems — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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