Shittu Family Practice LLC
NPI 1194331439ActiveOrganization· Nurse Practitioner, Family· Fayetteville, GA
Nurse Practitioner, Family in Fayetteville, Georgia, registered in NPPES in September 2020. The authorized official on file is Tawa Sitou, NP, Fnp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194331439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2020 |
| Last updated in NPPES | Oct 26, 2026 |
| Certified by provider | Oct 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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