P Praxis·MD
● Active Type 1 · Individual

MRS. Olubunmi Tina Ayeni, NP

Nurse Practitioner·Jonesboro, GA· NPI 1508482746 · Enumerated 2020 · 5 years on NPI
Ayeni is 1 of 2 nurse practitioner providers in Jonesboro and 1 of 383 in Georgia.
NPI age
5 years
Enumerated 2020-06-23
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-06-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 383 active nurse practitioner providers in Georgia.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
2759 Mount Zion Pkwy
Jonesboro, GA 302362568
📞 6782898338fax 7706030515
Mailing address
2759 Mount Zion Pkwy
Jonesboro, GA 302362568
📞 6782898338fax 7706030515

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN174210 taxonomy 363LP2300X

Identifiers

TypeValueNotes
01 (GA) RN174210 ADVANCED PRACTICE LICENSE

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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