Organization Active NPI

Jads Services Inc.

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1154578177
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002518 Issued in GA
Legal business name
JADS SERVICES INC.
Practice address
1264 Emma Jean PL SW
Marietta, GA 30064-3798
Phone
(770) 912-8894
Fax
(770) 573-7316
NPI assigned
Aug 21, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mrs. Shirlene Mineta Gordon, LCSWNPI 1982851820
Title
Chief Executive Director/Founder
Phone
(770) 912-8894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 002518 GA Primary

Addresses

Primary practice location

1264 Emma Jean PL SW
Marietta, GA 30064-3798

Mailing address

2500 Dallas Hwy SW Ste 202
Marietta, GA 30064-7505
Phone (770) 912-8894

National Provider Directory

National Provider Directory

Locations

316 Alexander St SE
Ste 8
Marietta, GA 30060
Phone (404) 579-2833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1154578177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647505",
            "telephone_number": "770-912-8894",
            "fax_number": "770-573-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 EMMA JEAN PL SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643798",
            "telephone_number": "770-912-8894",
            "fax_number": "770-573-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SHIRLENE",
        "authorized_official_middle_name": "MINETA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "770-912-8894",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.