P Praxis·MD
● Active Type 1 · Individual

Modupeola Ololade Fakunle, RN

Registered Nurse·Lithonia, GA· NPI 1861972960 · Enumerated 2018 · 7 years on NPI
Fakunle is 1 of 7 registered nurse providers in Lithonia and 1 of 243 in Georgia.
NPI age
7 years
Enumerated 2018-08-17
Primary specialty
Registered Nurse
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-08-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 243 active registered nurse providers in Georgia.

NPI age
7 years
↑ 5 yr above median (2 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
6987 Dalehollow Dr
Lithonia, GA 300587022
📞 4045190373
Mailing address
6987 Dalehollow Dr
Lithonia, GA 300587022
📞 4045190373

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN172123 taxonomy 163WH0200X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN172123 taxonomy 163W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new registered nurse provider has been added in Lithonia in the last 180 days. See all →
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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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