Jo D Faddis Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000295 Issued in GA

Legal business name

JO D FADDIS INC

Practice address

2310 Briarcliff Rd NE
Atlanta, GA 30329-2802

Phone

(404) 325-0738

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jo D Faddis, LMFTNPI 1346333200

Title

Marriage & Family Therapist

Phone

(404) 325-0738

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo D Faddis, DMIN

  • Marriage & Family Therapist
  • Atlanta, GA
  • NPI 1346333200
  NPD (past) Authorized official

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1376892703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292802",
            "telephone_number": "404-325-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292802",
            "telephone_number": "404-325-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO D FADDIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "FADDIS",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "404-325-0738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "000295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JM Cardinal Investments LLC Emory Crawford Long (Concord Drugs)
• JM Cardinal Investments LLC Medical Quarters (Concord Drugs Medical Quarters)
• JM Cardinal Investments LLC Medical Quarters (Concord Medical Quarters Pharmacy Corp)
• Jma Courier
• Eloise D JN Baptiste
• James Kim Jo, M.D.
• Petra Jo, O.D.
• Joam Corp, Inc (Joanne Masciarelli DC)
• Joanne Green, PHD, LLC
• Joanne S Peeler PHD

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.