Active NPI
Jamar Sheffie
- Physical Therapy Assistant
- Stone Mountain, GA
National Provider Identifier
1164832853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA001824
- Practice address
- 5295 Stone Mountain Hwy
Suite I
Stone Mountain, GA 30087-6416 - Phone
- (770) 879-5646
- Fax
- (770) 981-2024
- NPI assigned
- May 2, 2014
- Last updated
- May 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA001824 | GA | Primary |
Addresses
Primary practice location
5295 Stone Mountain Hwy
Suite I
Stone Mountain, GA 30087-6416
Mailing address
302 Perimeter Ctr N
Apt. 2345
Atlanta, GA 30346-2488
Phone (225) 235-5866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA001824 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1164832853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 PERIMETER CTR N",
"address_2": "APT. 2345",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303462488",
"telephone_number": "225-235-5866",
"fax_number": "770-981-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 STONE MOUNTAIN HWY",
"address_2": "SUITE I",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300876416",
"telephone_number": "770-879-5646",
"fax_number": "770-981-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFFIE",
"first_name": "JAMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA001824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.