NPIMap

Organization Active NPI

JBLB Holdings, LLC

  • Electrodiagnostic Medicine Physician
  • Atlanta, GA
National Provider Identifier
1740561125
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
License
H7626 Issued in TX
Legal business name
JBLB HOLDINGS, LLC
Practice address
400 Perimeter Center Ter North
Suite 900
Atlanta, GA 30346
Phone
(404) 574-1945
Fax
(800) 809-6184
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. John Berberian, DC
Title
President
Phone
(404) 574-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204R00000X H7626 TX Primary

Addresses

Primary practice location

400 Perimeter Center Ter North
Suite 900
Atlanta, GA 30346

Mailing address

8343 Roswell Rd # 283
Atlanta, GA 30350-2810
Phone (404) 574-1945

Other names 1

  • ProMedCare Doing business as

National Provider Directory

National Provider Directory

Locations

400 Perimeter Center Ter NE
Ste 900
Atlanta, GA 30346
Phone (404) 293-0502

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1740561125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 ROSWELL RD # 283",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502810",
            "telephone_number": "404-574-1945",
            "fax_number": "800-809-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PERIMETER CENTER TER NORTH",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "404-574-1945",
            "fax_number": "800-809-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBLB HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BERBERIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-574-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "TX",
            "license": "H7626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.