Jaytyn LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAYTYN LLC

Practice address

4600 Broswell Road
Atlanta, GA 30342

Phone

(256) 457-3071

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Johny Lee Bonner Sr.

Title

MD

Phone

(256) 457-3071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jaytyn LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Lee Bonner, M.D.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1336306547

  Internal Medicine

  NPD

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1144788142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 BRONTE LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354981",
            "telephone_number": "256-457-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BROSWELL ROAD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "256-457-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYTYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "JOHNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-457-3071",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "67277",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaytyn LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jaytyn LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Rose Jayaraj
• Danielle Jayaram, PA-C
• Erosha Chamini Jayawardena, M.D.
• David L. Jaye, M.D.
• Jaymie L. Fox, Psy.D. P.C
• JBC Enteprise, LLC
• JBD Counseling Service LLC
• JBLB Holdings, LLC
• JBM Advising LLC
• JBM-Dent, Inc.

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.