Organization Active NPI

Jasmine Primm

  • Physical Therapy Clinic/Center
  • Tucker, GA
National Provider Identifier
1033514609
Registry record updated Oct 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTA003352 Issued in GA
Legal business name
JASMINE PRIMM
Practice address
2810 Lawrenceville Hwy
Tucker, GA 30084-6905
Phone
(678) 485-3605
NPI assigned
Oct 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jasmine Primm
Title
Pta
Phone
(678) 485-3605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTA003352 GA Primary

Addresses

Primary practice location

2810 Lawrenceville Hwy
Tucker, GA 30084-6905

Mailing address

2810 Lawrenceville Hwy
Tucker, GA 30084-6905
Phone (678) 485-3605

National Provider Directory

National Provider Directory

Locations

2810 Lawrenceville Hwy
Tucker, GA 30084
Phone (678) 485-3605

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1033514609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 LAWRENCEVILLE HWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846905",
            "telephone_number": "678-485-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LAWRENCEVILLE HWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846905",
            "telephone_number": "678-485-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE PRIMM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "PRIMM",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "678-485-3605"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PTA003352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.