Individual provider Active NPI

Brianna Jennifer James, COSMETOLOGIST

  • Prosthetist
  • Conyers, GA
National Provider Identifier
1669110920
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CO132578 Issued in GA
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

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
CO132578GAMDProsthetist

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.

Verify at the official NPI Registry.