Aubrey Jackson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

5405 N Hillbrooke Trce
Johns Creek, GA 30005-7238

Phone

(404) 427-3457

NPI assigned

Jan 3, 2017

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Alliance Healthcare Systems LLC

  • Non-emergency Medical Transport (VAN)
  • Johns Creek, GA
  • NPI 1649715459

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1184169997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 N HILLBROOKE TRCE",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300057238",
            "telephone_number": "404-427-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 N HILLBROOKE TRCE",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300057238",
            "telephone_number": "404-427-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AUBREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Physical Therapy of Ga LLC
• Infinite Smiles 2 LLC (Infinite Smiles)
• Innerbalance Diagnosis Center
• Integrity Health Consultants
• Megan Christina Izutani, RDH
• Bridgitte L. Jackson, FNP, AOCN
• Denise Jackson
• Katherine Justina Jackson, MSN, WHNP-BC
• Clyde Tyrone Jacob III, M.D.
• Amanda Jacobs, DPT

• Durable Medical Equipment & Medical Supplies in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.