Active NPI
Loyal Hearts of Service LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, GA
National Provider Identifier
1962385278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LOYAL HEARTS OF SERVICE LLC
- Practice address
- 110 Habersham Dr Ste 149&151
Fayetteville, GA 30214-1381 - Phone
- (678) 374-1180
- NPI assigned
- Jul 26, 2025
- 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
- Oluwafunmilola Sulaimon, DNP
- Title
- DNP,MSN,Pmhnp-BC
- Phone
- (678) 374-1180
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Preferred Provider Organization | 305R00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
110 Habersham Dr Ste 149&151
Fayetteville, GA 30214-1381
Mailing address
75 Washington St Unit 1717
Fairburn, GA 30213-3617
Phone (678) 374-1180
Other names 1
- loyal hearts of service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
75 Washington St
Unit 1717
Fairburn, GA 30213
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, GA
- NPI 1992330492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1962385278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WASHINGTON ST UNIT 1717",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302133617",
"telephone_number": "678-374-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HABERSHAM DR STE 149&151",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141381",
"telephone_number": "678-374-1180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOYAL HEARTS OF SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "SULAIMON",
"authorized_official_first_name": "OLUWAFUNMILOLA",
"authorized_official_title_or_position": "DNP,MSN,PMHNP-BC",
"authorized_official_telephone_number": "678-374-1180",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"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": "loyal hearts of service",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Mar 26, 2026; 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.