Jeffrey H. Flatow, M.D., LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

028543 Issued in GA

Legal business name

JEFFREY H. FLATOW, M.D., LLC

Practice address

5435 Sugarloaf Pkwy
Suite 1104
Lawrenceville, GA 30043-7831

Phone

(678) 985-9030

Fax

(678) 985-9485

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey H Flatow, MD

Title

Owner

Phone

(678) 985-9030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1104190644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "678-985-9030",
            "fax_number": "678-985-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "678-985-9030",
            "fax_number": "678-985-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H. FLATOW, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "FLATOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-985-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "028543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00384777B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aginah Jefferson, RN
• Braycie Jefferson
• Carla Vonnett Jefferson
• Linda C Jefferson, RN
• Tieylar Jefferson
• Satya Amritsai Jella, MD
• Amy Hope Jenkins, PHARMD
• Emily L Jenkins, DPT
• Gail L Jenkins
• Kailah Jenkins

• Adult Mental Health Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.