Famo Healthcare Services II LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAMO HEALTHCARE SERVICES II LLC

Practice address

700 Westpark Dr Ste 200
Peachtree City, GA 30269-3554

Phone

(770) 912-0898

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Damilola MohammedNPI 1902559982

Title

Coo

Phone

(904) 440-4962

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health Peachtree City Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damilola Omotayo Mohammed

  • Family Nurse Practitioner
  • Griffin, GA
  • NPI 1902559982
  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1972218477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WESTPARK DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WESTPARK DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693554",
            "telephone_number": "770-912-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMO HEALTHCARE SERVICES II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "DAMILOLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "904-440-4962"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health Peachtree City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health Peachtree City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unnisa Faiyaz, M.D.
• Stephanie Falcon, MS, RDN
• Sierra Rose Falconer
• Family Care Medical Products Inc
• Family Matters Counseling Center, Inc
• Famo Healthcare Services III LLC
• Meghan Elle Farmer
• William Chase Farmer
• Faubion Therapy Center Inc
• Alzirene Campos Faubion, M.A.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.