Jakarius Cork

Primary specialty

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

Practice address

1729 Holly LN
Greenville, MS 38701-7533

Phone

(662) 537-8249

NPI assigned

Sep 11, 2018

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

Practice roles

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.

• Destiny'S Touch Home Care Agency LLC

  • Homemaker
  • Greenville, MS
  • NPI 1215896543
  NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1295218873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 HOLLY LN",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017533",
            "telephone_number": "662-537-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 HOLLY LN",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017533",
            "telephone_number": "662-537-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORK",
        "first_name": "JAKARIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Counseling Center
• Community Counseling Center Inc
• Condons East Union Pharmacy Inc
• Ashley Brown Corban, MS, CCC-SLP
• Angela Lanette Cork, PLMSW
• Robert Corkern, MD
• Cornerstone Caregiving East LLC
• Clarence E Cosey
• Cost to Coast Rehab Inc
• Cox Healthcare Clinic, LLC

• Non-emergency Medical Transport (VAN) in Greenville, MS
• Providers in Greenville, MS by specialty
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.