Mindbodysoul Mental Health & Family Practice LLC
NPI 1225776834ActiveOrganization· Nurse Practitioner, Family· Decatur, GA
Nurse Practitioner, Family in Decatur, Georgia, registered in NPPES in May 2022. The authorized official on file is Judith Fuajong Ngulefac, Np. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225776834 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2022 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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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