Mjpugh, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MJPUGH, LLC

Practice address

310 Bay Grove Rd
Loganville, GA 30052-6619

Phone

(901) 833-1385

NPI assigned

Aug 24, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jimond M Pugh

Title

Owner

Phone

(901) 833-1385

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1629625595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BAY GROVE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526619",
            "telephone_number": "901-833-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BAY GROVE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526619",
            "telephone_number": "901-833-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJPUGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "JIMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-833-1385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Caring Aides
• Miracle Caring Aides 2
• Yusuf Geoffrey Mishara, DMD
• George Thurman Mitchell, D.D.S.
• Theresa Mitchell, OTR
• Mobile Recovery Dolls
• Lauren Moffatt
• Ijeoma-Sky A Mogbo
• Monroe Hma Physician Management LLC (Loganville OB/GYN)
• Keisha Moore

• Speech-Language Pathologist in Loganville, GA
• Providers in Loganville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.