Paulette Mae Jarmon-Thomas, MA, LPC
Individual provider Active NPI Professional Counselor · Janesboro, GA
NPI 1144212903 · NPPES record last updated Jun 24, 2009
Key facts
- NPI
- 1144212903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 005144 (GA)
- Practice address
- 2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Office
Janesboro, GA 30236 - Phone
- (770) 603-3632
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123001776 | GA | Practitioner - Other (Non-Physician) | 9032561329 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011547 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Current |
Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
2525 Cumberland Pkwy SE
Atlanta, GA 30339
Phone (770) 431-4145
2400 Mount Zion Pkwy
Ofc
Jonesboro, GA 30236
Phone (770) 603-3614
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6301011547 | MI | |
| Professional Counselor | 101YP2500X | 005144 | GA | Yes |
Addresses
Primary practice location
2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Office
Janesboro, GA 30236
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7000
Other names
- Ms. Pauletter Mae Jarmon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.