Individual provider Active NPI

Jason Michael Jamin, D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1629166095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007576 Issued in GA
Practice address
45 W Crossville Rd
Ste 503
Roswell, GA 30075-2964
Phone
(678) 461-3512
Fax
(678) 461-3513
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007576 GA Primary

Addresses

Primary practice location

45 W Crossville Rd
Ste 503
Roswell, GA 30075-2964

Mailing address

45 W Crossville Rd
Ste 503
Roswell, GA 30075-2964
Phone (678) 461-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000589 GA Practitioner - Chiropractic 6608817143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 W Crossville Rd
Roswell, GA 30075-2964
Phone (678) 461-3512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
007576GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamin Chiropractic, LLC Chiropractor CurrentSince Aug 16, 2004 Accepting new patients

Locations

45 W Crossville Rd
Ste 503
Roswell, GA 30075
Phone (678) 461-3512

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629166095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W CROSSVILLE RD",
            "address_2": "STE 503",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752964",
            "telephone_number": "678-461-3512",
            "fax_number": "678-461-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W CROSSVILLE RD",
            "address_2": "STE 503",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752964",
            "telephone_number": "678-461-3512",
            "fax_number": "678-461-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIN",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007576",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.