Organization Active NPI

Global Outreach Medical and Behavioral LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoschton, GA
National Provider Identifier
1255170502
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GLOBAL OUTREACH MEDICAL AND BEHAVIORAL LLC
Practice address
330 Michigan Cir
Hoschton, GA 30548-5548
Phone
(770) 309-4140
NPI assigned
May 24, 2024
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Folashade Taiwo UmorenNPI 1255045878
Title
Owner
Phone
(770) 309-4140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

330 Michigan Cir
Hoschton, GA 30548-5548

Mailing address

330 Michigan Cir
Hoschton, GA 30548-5548
Phone (770) 309-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260605003097 GA Part B Supplier - Clinic/Group Practice 5799256160 Receives reassigned benefits from 1 practitioner
Practice locations: Hoschton, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1255170502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MICHIGAN CIR",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305485548",
            "telephone_number": "770-309-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MICHIGAN CIR",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305485548",
            "telephone_number": "770-309-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL OUTREACH MEDICAL AND BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "UMOREN",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_middle_name": "TAIWO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-309-4140"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoschton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.