NPIMap

Organization Active NPI

Yaeiouy

  • Prosthetist
  • Acworth, GA
National Provider Identifier
1700382355
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
063690373 Issued in GA
Legal business name
YAEIOUY
Practice address
5944 Highway 92 Ste 100
Acworth, GA 30102-2339
Phone
(770) 289-3486
NPI assigned
Apr 3, 2018
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Mr. Halim NajibNPI 1275073520
Title
Owner
Phone
(770) 289-3486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 063690373 GA Primary

Addresses

Primary practice location

5944 Highway 92 Ste 100
Acworth, GA 30102-2339

Mailing address

5944 Highway 92 Ste 100
Acworth, GA 30102-2339

Other names 1

  • Yaeiouy Former legal business name

National Provider Directory

National Provider Directory

Locations

5944 Highway 92
Ste 100
Acworth, GA 30102
Phone (706) 364-5228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1700382355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 HIGHWAY 92 STE 100",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 HIGHWAY 92 STE 100",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022339",
            "telephone_number": "770-289-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAEIOUY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "NAJIB",
        "authorized_official_first_name": "HALIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-289-3486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "GA",
            "license": "063690373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yaeiouy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.