Janogan LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JANOGAN LLC

Doing business as

Janogan Enhancement Center of Georgia

Practice address

4159 Wheeler Rd Ste D
Martinez, GA 30907-7751

Phone

(706) 993-9341

Fax

(706) 524-4020

NPI assigned

Jan 19, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Lyvetta Walker Marshall

Title

Owner/Hair Replacement Specialist

Phone

(706) 993-9341

Specialties & licenses 2

Addresses

Other names 1

• Janogan Enhancement Center of Georgia Doing business as

Locations

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1144767849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 WHEELER RD STE D",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309077751",
            "telephone_number": "706-993-9341",
            "fax_number": "706-524-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 WHEELER RD STE D",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309077751",
            "telephone_number": "706-993-9341",
            "fax_number": "706-524-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANOGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LYVETTA",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "OWNER/HAIR REPLACEMENT SPECIALIST",
        "authorized_official_telephone_number": "706-993-9341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "CO072859",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janogan Enhancement Center of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiara Y Jackson, RBT
• Deepa Sanjay Jagdale, M.D.
• James C. Sherman MD PC
• Andrea James
• Cornelius Rohaven James Jr., M.D.
• Le'Landra Jarvis
• Jason H. Lee, DMD, P.C.
• Kale Matthew Jay, RBT
• Leann Gail Jean, LPC
• Devin Jeffrey

• Durable Medical Equipment & Medical Supplies in Martinez, GA
• Providers in Martinez, 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 Jan 19, 2017; 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.