Jehovahs Behavioral Care LLC
NPI 1619612876 · Psychiatric/Mental Health Nurse Practitioner · Dacula, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jehovahs Behavioral Care LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Dacula, GA (NPI 1619612876).
Provider details
- NPI number
- 1619612876
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Grace Fomunung, Manager(404) 819-7338
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grace Fomunung Sole Mbr
- Doing business as
- Grace Fomunung Sole Mbr
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Frequently asked questions
- What is Jehovahs Behavioral Care LLC's NPI number?
- Jehovahs Behavioral Care LLC's National Provider Identifier (NPI) is 1619612876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jehovahs Behavioral Care LLC?
- Jehovahs Behavioral Care LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jehovahs Behavioral Care LLC located?
- Jehovahs Behavioral Care LLC's practice location on file with NPPES is 3206 Thimbleberry Trl, Dacula, GA 30019-7299.
- What is Jehovahs Behavioral Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Jehovahs Behavioral Care LLC is (404) 819-7338.
- Does Jehovahs Behavioral Care LLC accept Medicare?
- Jehovahs Behavioral Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jehovahs Behavioral Care LLC?
- The authorized official listed on Jehovahs Behavioral Care LLC's NPPES record is Grace Fomunung, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jehovahs Behavioral Care LLC's NPI active?
- Yes — Jehovahs Behavioral Care LLC's NPI (1619612876) is active in the NPPES registry as of the last update on 2022-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.