Jackson George Salon

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JACKSON GEORGE SALON

Practice address

4705 Ashford Dunwoody Rd Suite a Loft 2
Dunwoody, GA 30338-8216

Phone

(770) 695-1491

NPI assigned

Sep 9, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Angela J Ricks, MASTER COSMETOLOGIST

Title

Owner

Phone

(404) 798-5927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1093696759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 DUNWOODY XING APT D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303388216",
            "telephone_number": "404-798-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 ASHFORD DUNWOODY RD SUITE A LOFT 2",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303388216",
            "telephone_number": "770-695-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON GEORGE SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-798-5927",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTER COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mira Itani, MD
• Its Home LLC
• Mavis D Ivy, M.A., CCC-SLP
• Tai Iwamura, M.D.
• Zakia Jabarkheel, DO
• Michelle Jacques, D.D.S.
• Adam Miller Jaffe, MSW
• Jai Dames LLC
• Tracy Ivy James, D.C.
• William Joseph Jamieson, D.M.D

• Durable Medical Equipment & Medical Supplies in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.