Active NPI
Jbordleon & Associates, LLC
- Contractor
- Atlanta, GA
National Provider Identifier
1396921789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- JBORDLEON & ASSOCIATES, LLC
- Practice address
- 1217 Club Walk Dr NE
Atlanta, GA 30319-2672 - Phone
- (678) 431-0916
- NPI assigned
- Jan 15, 2008
- 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
- Jacqueline M Bordleon
- Title
- President/Owner
- Phone
- (678) 431-0916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
1217 Club Walk Dr NE
Atlanta, GA 30319-2672
Mailing address
PO Box 76029
Atlanta, GA 30358-1029
Phone (678) 431-0916
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1396921789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 76029",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303581029",
"telephone_number": "678-431-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 CLUB WALK DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303192672",
"telephone_number": "678-431-0916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JBORDLEON & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-15",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "BORDLEON",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "678-431-0916"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.