Jaylin Madison

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

2105 Walden Brook Dr
Stonecrest, GA 30038-1210

Phone

(918) 805-2779

NPI assigned

Nov 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1245004167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 WALDEN BROOK DR",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300381210",
            "telephone_number": "918-805-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 WALDEN BROOK DR",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300381210",
            "telephone_number": "918-805-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "JAYLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Lee
• Life Works Counseling Services, LLC
• Eliana Lovett, PHARMD
• Mesha Rachel Lucas
• Shaquena Lyn, MAT
• Majer Greatness Inc
• Roshanda Camille May
• Paul McCoy, LCSW
• Melissa Almond McKenie-Lewis, LAPC
• Nordia Meggie

• Non-emergency Medical Transport (VAN) in Stonecrest, GA
• Providers in Stonecrest, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.