Modupeola O Brisibe (NPI# 1376993519, PAC ID# 9436420866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376993519 |
| PAC ID by PECOS | 9436420866 |
| Professional Enrollment ID | I20170803002316 |
| Full Name | Modupeola O Brisibe |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE |
| Address |
4166 Snapfinger Woods Dr Decatur GA 30035-3411 |
| Phone Number | 4042892874 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204863764 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 | 4042892874 | ADVANCED INTERNAL MEDICINE |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxine Mitchell | Nurse Practitioner | Advanced Internal Medicine | 189 Medical Way, Riverdale, GA 30274-4905 |
| Adetokunboh M Adebayo | Internal Medicine | Advanced Internal Medicine | 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 |
| Abdul O Odemuyiwa | Internal Medicine | Advanced Internal Medicine | 189 Medical Way, Riverdale, GA 30274-4905 |
| Alicia D Shelly | Internal Medicine | Advanced Internal Medicine | 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 |
| Street Address |
4166 SNAPFINGER WOODS DR |
| City | DECATUR |
| State | GA |
| Zip | 30035-3411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adetokunboh M Adebayo | Internal Medicine | Advanced Internal Medicine | 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 |
| Alicia D Shelly | Internal Medicine | Advanced Internal Medicine | 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harriet Moody | Physician Assistant | Park Central Family Practice, Inc. | 4367 New Snapfinger Woods, Decatur, GA 30035 |
| Tiffany S Lee | Family Medicine | 4150 Snapfinger Wood Dr, Suite 100, Decatur, GA 30035 | |
| Joseph G Saulsbury | Preventative Medicine | Park Central Family Practice, Inc. | 4367 New Snapfinger Woods, Decatur, GA 30035 |
| Kris Manlove Simmons | Family Medicine | Park Central Family Practice, Inc. | 4367 New Snapfinger Woods, Decatur, GA 30035 |
| Ruben A Alexander | Physician Assistant | Park Central Family Practice, Inc. | 4367 New Snapfinger Woods, Decatur, GA 30035 |
| Frank O Dania | Family Medicine | 4480 Covington Hwy B, Decatur, GA 30035-1218 | |
| Lakendra S Fulbright | Chiropractic | 4982 Covington Hwy, Decatur, GA 30035-2017 | |
| Dayna Carol Moore | Chiropractic | Injury 2 Wellness Centers, PC | 4982 Covington Hwy, Decatur, GA 30035-2017 |
| Johnny A Garcia | Chiropractic | Injury 2 Wellness Centers, PC | 4982 Covington Hwy, Decatur, GA 30035-2017 |
| Cuong V Tran | Chiropractic | Injury 2 Wellness Centers, PC | 4982 Covington Hwy, Decatur, GA 30035-2017 |
| Find all physicians in zip 30035 | |||
| City | DECATUR |
| Zip Code | 30035 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DECATUR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Modupeola O Brisibe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.