Organization Active NPI

Favor Health Institute

  • Local Education Agency (LEA)
  • Canton, GA
National Provider Identifier
1609764547
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
FAVOR HEALTH INSTITUTE
Practice address
103 Mountain Brook Dr Ste 100
Canton, GA 30115-9078
Phone
(727) 455-1881
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Paul Momeh
Title
Ceo
Phone
(727) 455-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

103 Mountain Brook Dr Ste 100
Canton, GA 30115-9078

Mailing address

103 Mountain Brook Dr Ste 100
Canton, GA 30115-9078

National Provider Directory

National Provider Directory

Locations

103 Mountain Brook Dr
Ste 100
Holly Springs, GA 30115
Phone (470) 227-8130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1609764547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MOUNTAIN BROOK DR STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MOUNTAIN BROOK DR STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159078",
            "telephone_number": "727-455-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOR HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "MOMEH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-455-1881"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.