Jessica Joy Medzie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-383047 Issued in GA

Practice address

6361 Talokas LN # C140-158
Columbus, GA 31909-5642

Phone

(912) 385-4648

NPI assigned

Nov 21, 2024

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

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1508681719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BOXWOOD BLVD APT 3203",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062341",
            "telephone_number": "865-224-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 TALOKAS LN # C140-158",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095642",
            "telephone_number": "912-385-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDZIE",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-24-383047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Donette Medina
• Madonna Laree Medley
• Judith Louann Medlock, RPH
• Medmark Treatment Centers of Georgia, Inc. (Medmark Treatment Centers Columbus)
• Kenneth Andrew Medve, LCSW
• Thalia Meeks, BCBA
• Hillary B. Mehas, LPC
• Namita Mehta, MD
• Olivia Meininger
• Lawrence P Meisel Jr., ED.D., LPC, LMFT

• Behavior Technician in Columbus, GA
• Providers in Columbus, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.