Individual provider Active NPI

Jakai Nolan McEwen, DO

  • Neurology Physician
  • Smyrna, GA
National Provider Identifier
1649634015
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
89703 Issued in GA
Practice address
3016 Atlanta Rd SE Ste 150
Smyrna, GA 30080-3856
Phone
(404) 383-0845
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 34.014295 OH
Neurology Physician 2084N0400X 89703 GA Primary

Addresses

Primary practice location

3016 Atlanta Rd SE Ste 150
Smyrna, GA 30080-3856

Mailing address

3016 Atlanta Rd SE Ste 150
Smyrna, GA 30080-3856
Phone (404) 383-0845

Other practice location 1

101 Quartz Dr Ste 203
Villa Rica, GA 30180-3256
Phone (770) 812-3631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200722001044 OH Practitioner - Neurology 3779871603 Reassigns benefits to 1 organization
I20210806000398 GA Practitioner - Neurology 3779871603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joi Life Wellness Group LLCGroup PAC ID 7517376551, 2 clinicians

Practice addresses (Care Compare)

3016 Atlanta Rd SE
Suite 150
Smyrna, GA 30080-3856
Phone (404) 383-0845

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.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
TMG Northwest Georgia Oncology Center Inc CurrentSince Mar 1, 2026 Accepting new patients
Joi Life Wellness Group, LLC CurrentSince Oct 7, 2024 Accepting new patients
Tanner Medical Group Inc Neurology CurrentSince Sep 27, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2020 Accepting new patients
Ohiohealth Corporation Current Accepting new patients

Locations

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

3016 Atlanta Rd SE
Ste 150
Smyrna, GA 30080
Phone (404) 383-0845

767 Concord Rd SE
Smyrna, GA 30082
Phone (678) 305-1700

690 Dallas Hwy
Ste 104
Villa Rica, GA 30180
Phone (770) 812-3631

601 Dallas Hwy
Ste 102
Villa Rica, GA 30180
Phone (770) 333-2220

101 Quartz Dr
Ste 203
Villa Rica, GA 30180
Phone (770) 812-3631

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

601 Dallas Hwy
Ste 104
Villa Rica, GA 30180
Phone (770) 812-3631

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGCDCD

Organizations & group practices 6

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1649634015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 ATLANTA RD SE STE 150",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803856",
            "telephone_number": "404-383-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 ATLANTA RD SE STE 150",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803856",
            "telephone_number": "404-383-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Quartz Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301803256",
            "country_code": "US",
            "telephone_number": "770-812-3631",
            "fax_number": "770-812-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "JAKAI",
        "middle_name": "NOLAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34.014295",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "89703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.