Organization Active NPI

Clavicams Quality Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Dacula, GA
National Provider Identifier
1891532479
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLAVICAMS QUALITY HEALTHCARE SERVICES
Practice address
2451 Melton Common Drive
Dacula, GA 30019
Phone
(470) 556-4284
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Mah Clavia Tendoh, APRN
Title
Owner
Phone
(470) 556-4284

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2451 Melton Common Drive
Dacula, GA 30019

Mailing address

710 Dacula Rd Ste 4a
Dacula, GA 30019-7014
Phone (470) 556-4284

Other names 1

  • EFFICIENT HEALTH AND WELLNESS CENTER LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251121004493 GA Part B Supplier - Clinic/Group Practice 4880186394 Receives reassigned benefits from 1 practitioner
Practice locations: Snellville, GA

National Provider Directory

National Provider Directory

Locations

2336 Wisteria Dr
Ste 120
Snellville, GA 30078
Phone (678) 404-8143

2336 Wisteria Dr
Snellville, GA 30078
Phone (678) 756-1005

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": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1891532479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DACULA RD STE 4A",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197014",
            "telephone_number": "470-556-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 MELTON COMMON DRIVE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "470-556-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAVICAMS QUALITY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "TENDOH",
        "authorized_official_first_name": "MAH",
        "authorized_official_middle_name": "CLAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-556-4284",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EFFICIENT HEALTH AND WELLNESS CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.