Organization Active NPI

Jestia Pathways LLC

  • Nursing Care Agency
  • McDonough, GA
National Provider Identifier
1538588264
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
CN0028898127 Issued in GA
Legal business name
JESTIA PATHWAYS LLC
Practice address
6040 Turtle PT
McDonough, GA 30252-6875
Phone
(678) 663-8669
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mrs. Alexis McCallum
Title
Managing Director
Phone
(678) 663-8669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X CN0028898127 GA Primary

Addresses

Primary practice location

6040 Turtle PT
McDonough, GA 30252-6875

Mailing address

6040 Turtle PT
McDonough, GA 30252-6875
Phone (678) 663-8669

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1538588264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 TURTLE PT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526875",
            "telephone_number": "678-663-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 TURTLE PT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526875",
            "telephone_number": "678-663-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESTIA PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "678-663-8669",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "CN0028898127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.