Grace Tamu Fomunung, NURSE PRACTITIONER
NPI 1679028575ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Dacula, GA
Nurse Practitioner, Psych/Mental Health (NURSE PRACTITIONER) in Dacula, Georgia, licensed in GA, with an NPI issued in August 2016. Their prescriptions cost Medicare Part D more than their services did: $280,679 for 1,906 claims, against $7,430 paid for services in 2024. Axsome Therapeutics, Inc. was the largest of 16 companies reporting payments in 2025, $1,394 in all, mostly food and beverage.
Overview
| NPI | 1679028575 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Aug 20, 2016 |
| Last updated in NPPES | Nov 7, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | RN201867 | GA |
| Registered Nurse | 163W00000X | RN201867 | GA |
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 Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 103 across 5 procedure codes |
| Paid by Medicare | $7,430 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,906 · 1,993 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $280,679 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
- 2025$1,394 · 59 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $261.89 | 9 |
| Otsuka America Pharmaceutical, Inc. | $233.35 | 11 |
| E.R. Squibb & Sons, L.L.C. | $140.07 | 6 |
| Neurocrine Biosciences, Inc. | $109.98 | 4 |
| Teva Pharmaceuticals USA, Inc. | $87.99 | 5 |
What the 2025 payments were for
- Food and Beverage$1,394 · 59 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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