Individual provider Active NPI

Atalya Rajahn, CBS

  • Lactation Consultant (Non-RN)
  • Jonesboro, GA
National Provider Identifier
1285402065
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-319050 Issued in GA
Practice address
122 S Main St
Jonesboro, GA 30236-3530
Phone
(470) 422-0589
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-319050 GA Primary

Addresses

Primary practice location

122 S Main St
Jonesboro, GA 30236-3530

Mailing address

1595 Kidd Rd
Jonesboro, GA 30236-3365
Phone (470) 422-0589

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

LicenseStateTypeSpecialty
L-319050GAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Liquid Gold Standard Perinatal Services Lactation Consultant, Non-RN CurrentSince Oct 12, 2025 Accepting new patients

Locations

122 S Main St
Jonesboro, GA 30236
Phone (404) 480-9490

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1285402065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 KIDD RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363365",
            "telephone_number": "470-422-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363530",
            "telephone_number": "470-422-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAHN",
        "first_name": "ATALYA",
        "credential": "CBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-319050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.