Organization Active NPI

Distinctive Nature, LLC

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1124637053
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DISTINCTIVE NATURE, LLC
Practice address
2751 Buford Hwy NE
Atlanta, GA 30324-3207
Phone
(404) 907-1934
Fax
(404) 907-1934
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Aaron B Evans-Jackson, LCSW
Title
Clinical Therapist
Phone
(404) 907-1934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2751 Buford Hwy NE
Atlanta, GA 30324-3207

Mailing address

931 Monroe Dr NE Ste A102
Atlanta, GA 30308-2183
Phone (404) 907-1934

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aej@distinctivenature.org Direct

National Provider Directory

National Provider Directory

Locations

2751 Buford Hwy NE
Ste 400
Atlanta, GA 30324
Phone (404) 907-1934

931 Monroe Dr NE
Ste A102
Atlanta, GA 30308
Phone (404) 457-0490

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1124637053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 MONROE DR NE STE A102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082183",
            "telephone_number": "404-907-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243207",
            "telephone_number": "404-907-1934",
            "fax_number": "404-907-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE NATURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "EVANS-JACKSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "404-907-1934",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aej@distinctivenature.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2751 Buford Hwy NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303243207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.