Jambah Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

063059 Issued in GA

Legal business name

JAMBAH GROUP, LLC

Practice address

2356 Lenora Church Rd
Snellville, GA 30078-3233

Phone

(770) 972-0340

Fax

(770) 972-4591

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Roland J Pinder

Title

Cfo

Phone

(770) 972-0340

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Turning Point Health Care Systems Doing business as

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1376849802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 LENORA CHURCH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783233",
            "telephone_number": "770-972-0340",
            "fax_number": "770-972-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 LENORA CHURCH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783233",
            "telephone_number": "770-972-0340",
            "fax_number": "770-972-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMBAH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "PINDER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-972-0340"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "063059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "063059",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turning Point Health Care Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn Macey PA-C LLC
• Jae Pak PC
• Gautam Jagoo, MD
• Domonque Louise Jakes, RN
• Omar S Jalil, M.D.
• Andy James, CRNA
• Beverly James, O.T.
• Toshia Jamison
• Divakar Jammalamadaka, MD
• Haley Jang, BCBA

• Internal Medicine Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.