Jody Amazon PC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

JODY AMAZON PC

Doing business as

Ahava Healthcare

Practice address

2160 Fountain Dr Ste 220
Snellville, GA 30078-7022

Phone

(678) 336-9102

Fax

(770) 674-8563

NPI assigned

Jan 14, 2021

Last updated

Jan 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordyn Isabel Andrews

Title

Practice Manager

Phone

(678) 336-9102

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ahava Healthcare Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jody L Amazon, N.P.

  • Nurse Practitioner
  • Snellville, GA
  • NPI 1427038470
  NPD
• Anyta Hicks-Williams, AGNP-C, PMHNP-BC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1104367465

  Geriatric Psychiatry

  NPD
• Jae H Pak, M.D.

  • Geriatric Psychiatry Physician
  • Snellville, GA
  • NPI 1740280551
  NPD

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1396334330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR STE 220",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787022",
            "telephone_number": "678-336-9102",
            "fax_number": "770-674-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR STE 220",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787022",
            "telephone_number": "678-336-9102",
            "fax_number": "770-674-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY AMAZON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JORDYN",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "678-336-9102"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122521D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahava Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel Louis Jimenez, D.P.M.
• Vanessa Jimenez, NP
• Nidha Jivan, PA
• JKL Hearing Center, Inc. (Miracle Ear)
• Runa Jno Baptiste, LCSW
• John E. West, M.D., P.C.
• Ambi Jaise John, RN
• Venice Gevernia Johnson Cotton
• Connie Johnson- Lofton
• Amy Krystina Johnson-Spann, MS, CCC-SLP

• Geriatric Psychiatry Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Geriatric Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.