BJMM Medical LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

BJMM MEDICAL LLC

Practice address

1287 Glenwood Ave SE Ste C
Atlanta, GA 30316-1932

Phone

(404) 314-3758

Fax

(404) 419-6494

NPI assigned

Dec 24, 2014

Last updated

Dec 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Badie

Title

Manager

Phone

(404) 314-3758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1588052641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 GLENWOOD AVE SE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161932",
            "telephone_number": "404-314-3758",
            "fax_number": "404-419-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 GLENWOOD AVE SE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161932",
            "telephone_number": "404-314-3758",
            "fax_number": "404-419-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJMM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "BADIE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-314-3758"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.