Famo Healthcare Services III LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAMO HEALTHCARE SERVICES III LLC

Practice address

700 Westpark Dr Ste 200
Peachtree City, GA 30269-1620

Phone

(770) 912-0898

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fatai Mohammed

Title

Ceo

Phone

(770) 912-0898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1366202186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WESTPARK DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691620",
            "telephone_number": "770-912-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WESTPARK DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691620",
            "telephone_number": "770-912-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMO HEALTHCARE SERVICES III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "FATAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-912-0898"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Bond Faulkner, M.D., M.H.A.

• Primary Care Clinic/Center in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.