NPI age
9 years
Enumerated 2017-02-10
● Active Type 2 · Organization
Fellowship Assisted Living Llc
Fellowship Assisted Living Llc is 1 of 519 assisted living facility organizations in Georgia.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Naar
Director
Last NPPES update
2017-02-10
Source: monthly bulk 2026-05
How this organization compares
Across 519 active assisted living facility providers in Georgia.
NPI age
9 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
277 Medical Way
Riverdale, GA 302742522
Mailing address
277 Medical Way
Riverdale, GA 302742522
Authorized official
Dominique Naar, 4043767658
Director
📞 4043767658
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Scott Gibson, LPN Licensed Practical Nurse NPI 1083371538
- Robyn Goodart Counselor NPI 1063186039
- Lequawn James Nurse Practitioner NPI 1154834406
- Akili Penn Licensed Practical Nurse NPI 1225706914
- Kate Rotimi-Samuel, RN Registered Nurse NPI 1538837224
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 860341286A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Fellowship Personal Care Home
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.