Active NPI
Solvent LLC
- Community Health Clinic/Center
- Byron, GA
National Provider Identifier
1508494519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- SOLVENT LLC
- Practice address
- 104 Brandon Way
Byron, GA 31008-5433 - Phone
- (478) 283-6805
- NPI assigned
- Mar 27, 2020
- Organization subpart
- Yes
- Parent organization
- SOLVENT LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melandy Jones
- Title
- Nurse Practitioner
- Phone
- (478) 283-6805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
104 Brandon Way
Byron, GA 31008-5433
Mailing address
104 Brandon Way
Byron, GA 31008-5433
Phone (478) 283-6805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245871250 | Medicaid | GA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | melandyjones80@gmail.com | ||
| CONNECT URL | melandyjones80@gmail.com |
National Provider Directory
National Provider Directory- Part of
- Solvent LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585267200000",
"number": "1508494519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BRANDON WAY",
"city": "BYRON",
"state": "GA",
"postal_code": "310085433",
"telephone_number": "478-283-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BRANDON WAY",
"city": "BYRON",
"state": "GA",
"postal_code": "310085433",
"telephone_number": "478-283-6805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLVENT LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOLVENT LLC",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MELANDY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "478-283-6805"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245871250",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "melandyjones80@gmail.com",
"affiliation": "N",
"address_1": "104 Brandon Way",
"city": "Byron",
"state": "GA",
"country_code": "US",
"postal_code": "310085433",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "melandyjones80@gmail.com",
"affiliation": "N",
"address_1": "104 Brandon Way",
"city": "Byron",
"state": "GA",
"country_code": "US",
"postal_code": "310085433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Byron, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.