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

Active since May 18, 2020CLIA 11D2217628 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through March 22, 2027 and 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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2217628

Favor Family Medical Practice LLC · Canton, GA
Active · expires Mar 22, 2027
CLIA Number11D2217628
Laboratory TypePractitioner Other
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorEunice Momeh
Laboratory Phone(678) 880-8893
Laboratory LocationFavor Family Medical Practice LLC103 Mountain Brook Drive Unit 100, Canton, GA 30115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAVOR HEALTH INSTITUTE
Local Education Agency (LEA)
103 MOUNTAIN BROOK DR STE 100
CANTON, GA 30115
Cherokee County (727) 455-1881

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.

Does Favor Family Medical Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2217628) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.