Active NPI
Clavicams Quality Healthcare Services
- Psychiatric/Mental Health Nurse Practitioner
- Dacula, GA
National Provider Identifier
1891532479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251121004493 | GA | Part B Supplier - Clinic/Group Practice | 4880186394 |
Receives reassigned benefits from 1 practitioner Practice locations: Snellville, GA |
National Provider Directory
National Provider DirectoryLocations
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.