Active NPI
Faith Fulfillment Centers
- Case Manager/Care Coordinator
- Conyers, GA
National Provider Identifier
1285578559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.