Individual provider Active NPI

Jakai Banks, EMT I

  • Intermediate Emergency Medical Technician
  • Covington, GA
National Provider Identifier
1144933508
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
I36519 Issued in GA
Practice address
45 Heaton Dr
Covington, GA 30016-0224
Phone
(678) 965-3460
NPI assigned
Jan 2, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
I36519GAMDIntermediate Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Jakai Enterprise LLC Current
since Jan 8, 2023
Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X I36519 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

45 Heaton Dr
Covington, GA 30016-0224

Mailing address

45 Heaton Dr
Covington, GA 30016-0224
Phone (678) 965-3460

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2023.

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1144933508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HEATON DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300160224",
            "telephone_number": "678-965-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HEATON DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300160224",
            "telephone_number": "678-965-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "JAKAI",
        "name_prefix": "Mr.",
        "credential": "EMT I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "GA",
            "license": "I36519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.