Fadumo Mohamed

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Practice address

3688 Clearview Ave Ste 209
Doraville, GA 30340-2133

Phone

(470) 359-8623

NPI assigned

Jul 19, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Medcare, LLC

  • Land Ambulance
  • Doraville, GA
  • NPI 1669353983

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1619869914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 CLEARVIEW AVE STE 209",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402133",
            "telephone_number": "470-359-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 CLEARVIEW AVE STE 209",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402133",
            "telephone_number": "470-359-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "FADUMO",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-19",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Merkle
• Metro Atlanta Recovery Residences, Inc.
• Mike Dae Whang MD Inc
• John Vincent Miller
• Lauren Reinkemeyer Mobley, MCD
• Mariam Moldenhauer, M.A.
• Damaris K Morris, M.S, CCC-SLP
• Alyssa Morrow, CCC-SLP
• Aisha Morton, M.S., CCC-SLP
• Jose R Muniz, LPN

• Land Ambulance in Doraville, GA
• Providers in Doraville, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.