Active NPI
Joshua Nathanael Jamiah, DPT
- Physical Therapist
- Suwanee, GA
National Provider Identifier
1184486326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016976
- Practice address
- 4025 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-5683 - Phone
- (404) 575-4505
- Fax
- (678) 933-0472
- NPI assigned
- Jan 24, 2024
- 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 Therapist | 225100000X | PT016976 | GA | Primary |
Addresses
Primary practice location
4025 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-5683
Mailing address
3945 Woodridge Way
Tucker, GA 30084-2159
Phone (404) 234-6619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT016976 | Other | GA | GA STATE LICENSE |
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 |
|---|---|---|---|
| PT016976 | GA | MD | Physical Therapist |
Interoperability endpoints
- joshua.jamiah.1@15749.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1184486326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 WOODRIDGE WAY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300842159",
"telephone_number": "404-234-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 JOHNS CREEK PKWY STE 100",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300245683",
"telephone_number": "404-575-4505",
"fax_number": "678-933-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIAH",
"first_name": "JOSHUA",
"middle_name": "NATHANAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA STATE LICENSE",
"identifier": "PT016976",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.