Jehovahs Behavioral Care LLC
NPI 1619612876ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Dacula, GA
Nurse Practitioner, Psych/Mental Health in Dacula, Georgia, registered in NPPES in May 2022. The authorized official on file is Grace Fomunung, PMHNP, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619612876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2022 |
| Last updated in NPPES | Nov 15, 2022 |
| Certified by provider | Nov 15, 2022 |
Specialties and licenses
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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