Janet Lyneese Pippins
Individual provider Active NPI Adult Companion · Grantville, GA
NPI 1487094876 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1487094876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- License
- 20130075 (GA)
- Practice address
- 108 Brasch Park Dr
Grantville, GA 30220-2139 - Phone
- (404) 357-2329
- NPI assigned
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20130075 | GA | MD | Adult Companion |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 20130075 | GA | Yes |
Addresses
Primary practice location
108 Brasch Park Dr
Grantville, GA 30220-2139
Mailing address
108 Brasch Park Dr
Grantville, GA 30220-2139
Phone (404) 357-2329
Other providers in Grantville, GA
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- Ashley Jones
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- Charlsie Faith Moore
- Jared Reichard
- Senoia Drug Company Inc.
- Speech Buddy
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All providers in Grantville, GA · Adult Companion in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.