JKB Holdings, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

JKB HOLDINGS, INC

Doing business as

Jay's Medical Equipment

Practice address

77 Wayne Colwell Dr
Blairsville, GA 30512

Phone

(706) 835-2233

Fax

(706) 835-2250

NPI assigned

Aug 23, 2007

Last updated

Jul 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harvey Jay Burks

Title

Cfo

Phone

(706) 835-2233

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jay's Medical Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• JKB Holdings, Inc.

  dba Jay's Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Murphy, NC
  • NPI 1841405198

  9537364047

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

JKB Holdings Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JKB Holdings, Inc.

  dba Jay's Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Murphy, NC
  • NPI 1841405198
  NPD tax ID

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1104019090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2298",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305142298",
            "telephone_number": "706-835-2233",
            "fax_number": "706-835-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WAYNE COLWELL DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-835-2233",
            "fax_number": "706-835-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKB HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-835-2233"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268976147D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268976147C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52222767001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay's Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Daniel Roman Johnson, MD
• Dusty Lynn Johnson, CRNA
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• Margi Johnson, D.O.
• Jonathan Cale Jones, PT, DPT

• Oxygen Equipment & Supplies (DME) in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.