Active NPI
Jamyah Douglass
- Assistant Behavior Analyst
- Conyers, GA
National Provider Identifier
1255208864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 1501 Shoal Creek Dr SW
Conyers, GA 30094-6125 - Phone
- (943) 245-5268
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
1501 Shoal Creek Dr SW
Conyers, GA 30094-6125
Mailing address
1501 Shoal Creek Dr SW
Conyers, GA 30094-6125
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1255208864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SHOAL CREEK DR SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SHOAL CREEK DR SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946125",
"telephone_number": "943-245-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLASS",
"first_name": "JAMYAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
- Douglas B. Torbush Ddspc
- Douglas Counseling, Coaching, & Consulting, LLC
- Lisa Douglas, PHARM.D.
- Tyneisha Donisha Douglas, CLINICAL SOCIAL WORK
- Deirdre Dolan Douglass, P.T.
- Phyllis Burr Dove-Edwin
- Jessica Ming-Chu Doyle, MD
- Dr Transport LLC
- Deanna Drayton, RBT
- Dream 4 You Coaching and Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.