Active NPI
Jakai Banks, EMT I
- Intermediate Emergency Medical Technician
- Covington, GA
National Provider Identifier
1144933508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- I36519
- 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.
-
- Non-emergency Medical Transport (VAN)
- Covington, GA
- NPI 1306559687
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
| License | State | Type | Specialty |
|---|---|---|---|
| I36519 | GA | MD | Intermediate Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jakai Enterprise LLC | Current |
Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | I36519 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.