MAMOKANT GOD FAVOR HEALTH CARE LLC
NPI 1336824077
Clinic/Center - Primary Care in Lawrenceville, GA
About Mamokant God Favor Health Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAMOKANT GOD FAVOR HEALTH CARE LLC (NPI 1336824077) is a healthcare organization registered as a primary care in Lawrenceville, Georgia and active in the NPI registry since June 2023. The organization lists Marie Jose Antoine, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mamokant God Favor Health Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mamokant God Favor Health Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mamokant God Favor Health Care LLC's NPI number?
The NPI number for Mamokant God Favor Health Care LLC is 1336824077. It was assigned to this organization in the NPPES registry on June 20, 2023.
Where is Mamokant God Favor Health Care LLC located?
Mamokant God Favor Health Care LLC is located at 1018 River Forest Pt, Lawrenceville, GA 30045. The listed phone number is (941) 237-8179.
What is Mamokant God Favor Health Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mamokant God Favor Health Care LLC enrolled in Medicare?
Yes. Mamokant God Favor Health Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mamokant God Favor Health Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mamokant God Favor Health Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mamokant God Favor Health Care LLC was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mamokant God Favor Health Care Llc · NPI 1336824077
Primary Care organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1336824077 (Entity type: Organization)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Marie Jose Antoine, OWNER
## Practice location
- **Address:** 1018 RIVER FOREST PT, Lawrenceville, GA 30045-2600
- **Phone:** (941) 237-8179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336824077) · Data from the CMS NPPES public registry.