Organization Active NPI

JK Pulmonary and Sleep Medicine LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Roswell, GA
National Provider Identifier
1508440652
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
JK PULMONARY AND SLEEP MEDICINE LLC
Practice address
3465 Nettle LN NE
Roswell, GA 30075-2602
Phone
(215) 307-7411
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Jason Krahnke, DO
Title
Organizer
Phone
(215) 307-7411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

3465 Nettle LN NE
Roswell, GA 30075-2602

Mailing address

3465 Nettle LN NE
Roswell, GA 30075-2602
Phone (215) 307-7411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1508440652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 NETTLE LN NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752602",
            "telephone_number": "215-307-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 NETTLE LN NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752602",
            "telephone_number": "215-307-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK PULMONARY AND SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "KRAHNKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "215-307-7411",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.