Individual provider Active NPI

Barbara Joie Jacala, LAC AEMP

  • Acupuncturist
  • Fayetteville, GA
National Provider Identifier
1659829372
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
521 Issued in GA
Practice address
101 Devant St Ste 1001
Fayetteville, GA 30214-2719
Phone
(678) 310-3182
Fax
(678) 788-6690
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60688394 WA
Acupuncturist 171100000X 25005814 NY
Acupuncturist 171100000X 521 GA Primary

Addresses

Primary practice location

101 Devant St Ste 1001
Fayetteville, GA 30214-2719

Mailing address

365 Malibu Dr
Fayetteville, GA 30214-2586
Phone (678) 310-3182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
521GAMDAcupuncturist
25005814NYMDAcupuncturist
AC60688394WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Collective LLC Acupuncturist CurrentSince Jun 6, 2021 Accepting new patients

Locations

101 Devant St
Ste 1001
Fayetteville, GA 30214
Phone (678) 310-3182

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1659829372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MALIBU DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142586",
            "telephone_number": "678-310-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 1001",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142719",
            "telephone_number": "678-310-3182",
            "fax_number": "678-788-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACALA",
        "first_name": "BARBARA JOIE",
        "credential": "LAC AEMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60688394",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25005814",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.