Organization Active NPI

The Ajani Brand LLC

  • Prosthetic/Orthotic Supplier
  • Smyrna, GA
National Provider Identifier
1730956269
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE AJANI BRAND LLC
Practice address
2365 Spring Rd SE Ste 215
Smyrna, GA 30080-2632
Phone
(513) 400-8349
NPI assigned
Dec 5, 2023
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Wendy StallworthNPI 1710769609
Title
Owner
Phone
(513) 400-8349

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
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

2365 Spring Rd SE Ste 215
Smyrna, GA 30080-2632

Mailing address

409 Walton Way SE
Smyrna, GA 30082-3854
Phone (513) 400-8349

National Provider Directory

National Provider Directory
Tax ID family
The Ajani Brand LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 Whitlock Ave SW
Marietta, GA 30064
Phone (404) 482-2440

2365 Spring Rd SE
Ste 215
Smyrna, GA 30080
Phone (513) 400-8349

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": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1730956269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WALTON WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823854",
            "telephone_number": "513-400-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 SPRING RD SE STE 215",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802632",
            "telephone_number": "513-400-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AJANI BRAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-400-8349"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.