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NPISignal

Individual Healthcare Provider

Stan Ekume Mokoko, MD

NPI Record: ActiveFamily Medicine
NPI1336994110
Richmond Hill, Georgia

Provider's NPPES record last updated: April 9, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1336994110
Primary Specialty
Family Medicine
Practice Location
Richmond Hill, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:28 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207Q00000X
  • Psychiatry & Neurology

    Behavioral Neurology & Neuropsychiatry

    Allopathic & Osteopathic Physicians

    Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

    Taxonomy code 2084B0040X
  • Preventive Medicine

    Preventive Medicine/Occupational Environmental Medicine

    Allopathic & Osteopathic Physicians

    A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

    Taxonomy code 2083P0500X

Provider-Reported License Information

Family Medicine (Georgia)
102105
Psychiatry & Neurology (Georgia)
102105
Preventive Medicine (Georgia)
102105
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

163 Willow Oak Drive

Richmond Hill, Georgia 31324

Phone: (951) 324-7625

Additional Practice Location

41593 Winchester Rd Ste 200

Temecula, California 92590-4857

Phone: (833) 262-2185

Fax: (877) 353-8605

Record Information

Enumeration Date
April 23, 2024
Provider's NPPES Record Last Updated
April 9, 2026
Certification Date
April 9, 2026
NPISignal NPPES Dataset
August 2026

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