Active NPI
Jakai Enterprise LLC
- Non-emergency Medical Transport (VAN)
- Covington, GA
National Provider Identifier
1306559687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- JAKAI ENTERPRISE LLC
- Practice address
- 45 Heaton Dr
Covington, GA 30016-0224 - Phone
- (678) 965-3460
- NPI assigned
- Jan 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jakai S Banks, EMT-I
- Title
- Owner
- Phone
- (678) 965-3460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
45 Heaton Dr
Covington, GA 30016-0224
Mailing address
45 Heaton Dr
Covington, GA 30016-0224
Phone (678) 965-3460
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intermediate Emergency Medical Technician
- Covington, GA
- NPI 1144933508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672617600000",
"number": "1306559687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HEATON DR",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300160224",
"telephone_number": "678-965-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 HEATON DR",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300160224",
"telephone_number": "678-965-3460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAKAI ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-01",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "JAKAI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-965-3460",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-I"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.