P Praxis·MD
● Active Type 2 · Organization

Jehovahs Behavioral Care Llc

Nurse Practitioner·Dacula, GA· NPI 1619612876 · Enumerated 2022 · 4 years on NPI
Jehovahs Behavioral Care Llc is 1 of 1622 nurse practitioner organizations in Georgia.
NPI age
4 years
Enumerated 2022-05-02
Primary specialty
Nurse Practitioner
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fomunung
Manager
Last NPPES update
2022-11-15
Source: monthly bulk 2026-05

How this organization compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 37% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-05Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
3206 Thimbleberry Trl
Dacula, GA 300197299
📞 4048197338
Mailing address
4652 Lawrenceville Hwy Nw
Lilburn, GA 300473621
📞 4048197338

Authorized official

Grace Fomunung, PMHNP
Manager
📞 4048197338

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Grace Fomunung, NURSE PRACTITIONER Nurse Practitioner NPI 1679028575

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X
  • Clinic/Center
    Definition to come...
    taxonomy 261QH0100X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
    taxonomy 261QM0855X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • GRACE FOMUNUNG SOLE MBR
    Type code 3 recorded 2022-11-15
  • GRACE FOMUNUNG SOLE MBR
    Type code 3 recorded 2022-04-19

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Provyx · Custom healthcare lists

Need all 1622 Nurse Practitioner providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related