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FAVOR FAMILY MEDICAL PRACTICE LLC
NPI 1336762913
Family Medicine in Canton, GA

Active since May 18, 2020
103 MOUNTAIN BROOK DR STE 100, CANTON, GA 30115(678) 880-8893(678) 880-8589 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 21, 2021, Oct 22, 2020, May 18, 2020 (3 updates tracked since 2020).

About Favor Family Medical Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAVOR FAMILY MEDICAL PRACTICE LLC (NPI 1336762913) is a healthcare organization registered as a family medicine in Canton, Georgia and active in the NPI registry since May 2020. The organization lists Eunice Momeh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336762913
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAVOR FAMILY MEDICAL PRACTICE LLC
Location Address103 MOUNTAIN BROOK DR STE 100Canton, GA 30115-9078
Mailing Address103 Mountain Brook Dr Ste 100Canton, GA 30115-9078 · (678) 880-8893
Phone(678) 880-8893
Fax(678) 880-8589
Organization SubpartNo
Authorized OfficialEunice MomehCeo · (678) 880-8893
Enumeration DateMay 18, 2020
Last NPPES UpdateJanuary 21, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1336762913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
103 MOUNTAIN BROOK DR STE 100, Canton, GA 30115
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Other Identifiers 1

Medicaid13911414GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Favor Family Medical Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Favor Family Medical Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Cynthia Brandon, APRN, FNP-BC
Nurse Practitioner
NPI 1649748096
1495 HICKORY FLAT HWY STE 100
Canton, GA 30115
(678) 341-6360
✔ PECOS✔ Accepts Medicare3.5 mi
Eunice Momeh, NP-C
Nurse Practitioner
NPI 1457724874
2450 OLD MILTON PKWY STE 201
Alpharetta, GA 30009
(470) 267-0350
✔ PECOS✔ Accepts Medicare14 mi
Ibrahim Opaleye, M.D.
Family Practice
NPI 1720367287
1819 BUFORD HWY STE C
Buford, GA 30518
(678) 288-9000
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Favor Family Medical Practice LLC's NPI number?

The NPI number for Favor Family Medical Practice LLC is 1336762913. It was assigned to this organization in the NPPES registry on May 18, 2020.

Where is Favor Family Medical Practice LLC located?

Favor Family Medical Practice LLC is located at 103 Mountain Brook Dr Ste 100, Canton, GA 30115. The listed phone number is (678) 880-8893.

What is Favor Family Medical Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Favor Family Medical Practice LLC enrolled in Medicare?

Yes. Favor Family Medical Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Favor Family Medical Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Favor Family Medical Practice LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Favor Family Medical Practice LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Favor Family Medical Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Favor Family Medical Practice LLC was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.