Jason Ming Jian, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

67335 Issued in GA

Practice address

100 Market Place Blvd Ste 309
Cartersville, GA 30121-8717

Phone

(470) 363-3960

NPI assigned

Jul 29, 2009

Last updated

Apr 29, 2021By 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 1

Addresses

Other names 1

• Dr. Ming Jian Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD
• Jasonmingjian, MD, LLC

  dba JMJ Psychiatric and Behavior Clinic

  • Psychiatry Physician
  • Cartersville, GA
  • NPI 1972181535
  Authorized official Same address or phone
• Guardian Health Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucker, GA
  • NPI 1679181168

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1265663983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 OAK TRAIL DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623836",
            "telephone_number": "205-482-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET PLACE BLVD STE 309",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218717",
            "telephone_number": "470-363-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIAN",
        "first_name": "JASON",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "67335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MING",
            "last_name": "JIAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nanditha Lakshmi Jayakumar, MD
• Jeffrey D. Esslinger, MD, PC
• Meghan Elizabeth Jenkins, BCBA
• Johnnetta Tina Jennings
• Jerry Mark Wigley MD (Walk-In MD)
• JL Burch,LLC (Medicap Pharmacy)
• John S. Thomas, M.D.
• Emmanuel Maduabuchim John, APRN/ PMHNP
• Johnson Audiology
• Johnson Audiology of Cartersville Inc

• Psychiatry Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.