Active NPI
Synergy Homecare of Fayetteville Ga LLC
- Durable Medical Equipment & Medical Supplies
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SYNERGY HOMECARE OF FAYETTEVILLE GA LLC
- Practice address
- 288 High Way 314
Suite C
Fayetteville, GA 30214 - Phone
- (470) 352-0524
- NPI assigned
- Mar 19, 2025
- Last updated
- Sep 11, 2025
- Organization subpart
- Yes
- Parent organization
- KOKUA COMMUNITY SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nigel Gauntlett
- Title
- Owner
- Phone
- (470) 352-0524
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
288 High Way 314
Suite C
Fayetteville, GA 30214
Mailing address
165 Keaton Dr
Fayetteville, GA 30215-2035
Phone (470) 352-0524
National Provider Directory
National Provider Directory- Part of
- Kokua Community Services LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Synergy HomeCare of Fayetteville Ga LLC
- Home Health Agency
- Fayetteville, GA
- NPI 1245057744
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.
-
- Home Health Aide
- Fayetteville, GA
- NPI 1043010283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1881495646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 KEATON DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152035",
"telephone_number": "470-352-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 HIGH WAY 314",
"address_2": "SUITE C",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30214",
"telephone_number": "470-352-0524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY HOMECARE OF FAYETTEVILLE GA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KOKUA COMMUNITY SERVICES LLC",
"enumeration_date": "2025-03-19",
"last_updated": "2025-09-11",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "GAUNTLETT",
"authorized_official_first_name": "NIGEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-352-0524"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.