Active NPI
Brianna Jennifer James, COSMETOLOGIST
- Prosthetist
- Conyers, GA
National Provider Identifier
1669110920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CO132578
- Practice address
- 1359 Milstead Rd NE Ste 201
Conyers, GA 30012-3865 - Phone
- (770) 679-9264
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CO132578 | GA | Primary |
Addresses
Primary practice location
1359 Milstead Rd NE Ste 201
Conyers, GA 30012-3865
Mailing address
3503 McCallister LN
Conyers, GA 30013-7500
Phone (908) 917-6058
Other names 1
- Ms. Brianna Jennifer James
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
| License | State | Type | Specialty |
|---|---|---|---|
| CO132578 | GA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1669110920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 MCCALLISTER LN",
"city": "CONYERS",
"state": "GA",
"postal_code": "300137500",
"telephone_number": "908-917-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 MILSTEAD RD NE STE 201",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123865",
"telephone_number": "770-679-9264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "BRIANNA",
"middle_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "COSMETOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "GA",
"license": "CO132578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "JAMES",
"middle_name": "JENNIFER",
"prefix": "MS.",
"credential": "COSMETOLOGIST",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.