J&J Mobile Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

J&J MOBILE MEDICAL LLC

Doing business as

NursEnRoute

Practice address

5918 Farmcrest PT SE
Mableton, GA 30126-5736

Phone

(404) 589-5623

Fax

(470) 412-6080

NPI assigned

Mar 29, 2021

Last updated

Apr 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle M Johnson, NP

Title

Registered Agent

Phone

(404) 589-5623

Specialties & licenses 2

Addresses

Other names 1

• NursEnRoute Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619222400000",
    "number": "1144808676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 FARMCREST PT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265736",
            "telephone_number": "404-589-5623",
            "fax_number": "470-412-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 FARMCREST PT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265736",
            "telephone_number": "404-589-5623",
            "fax_number": "470-412-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J MOBILE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "404-589-5623",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NursEnRoute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Esther Ijeoma Iwotor, NP - C
• Angela Jackson, MA, EDD
• Letreace Andrea Jackson
• Mahkada Taylor Jackson, PHD
• Thomas C Jackson
• Nandi Jacobs

• Family Nurse Practitioner in Mableton, GA
• Providers in Mableton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.