Organization Active NPI

Faith Fulfillment Centers

  • Case Manager/Care Coordinator
  • Conyers, GA
National Provider Identifier
1285578559
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
FAITH FULFILLMENT CENTERS
Practice address
120 Shadow Lake Dr
Conyers, GA 30094-4127
Phone
(404) 396-8888
NPI assigned
Apr 16, 2026
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Sunita Patel
Title
Ceo
Phone
(404) 396-8888

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X NU
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Local Education Agency (LEA) 251300000X NU
Meals Provider 174200000X NU
Case Manager/Care Coordinator 171M00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

120 Shadow Lake Dr
Conyers, GA 30094-4127

Mailing address

1412 Old McDoungh Rd
Conyers, GA 30094-4127
Phone (404) 396-8888

National Provider Directory

National Provider Directory

Locations

1412 Old McDonough Hwy SE
Conyers, GA 30094
Phone (404) 396-8888

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": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1285578559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 OLD MCDOUNGH RD",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944127",
            "telephone_number": "404-396-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SHADOW LAKE DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944127",
            "telephone_number": "404-396-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FULFILLMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-396-8888"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.