Janie Mae Samuel

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

22046011 Issued in GA

Practice address

7177 Sweet Gum CT
Lithonia, GA 30058-2993

Phone

(770) 572-9842

NPI assigned

Mar 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1417697186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 SWEET GUM CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582993",
            "telephone_number": "770-572-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 SWEET GUM CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582993",
            "telephone_number": "770-572-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JANIE",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": "22046011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.avast.com",
            "affiliation": "N",
            "endpointDescription": "Cloud based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7177 Sweet Gum Ct",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300582993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.avast.com",
            "affiliation": "N",
            "endpointDescription": "Cloud based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7177 Sweet Gum Ct",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300582993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.avast.com",
            "affiliation": "N",
            "endpointDescription": "Cloud based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7177 Sweet Gum Ct",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300582993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.avast.com",
            "affiliation": "N",
            "endpointDescription": "Cloud based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7177 Sweet Gum Ct",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300582993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.avast.com",
            "affiliation": "N",
            "endpointDescription": "Cloud based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7177 Sweet Gum Ct",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300582993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Private Vehicle in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Private Vehicle in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.