Organization Active NPI

A Golden Moment, LLC

  • Family Nurse Practitioner
  • Grayson, GA
National Provider Identifier
1750139986
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
A GOLDEN MOMENT, LLC
Practice address
889 Lakeview Rd
Grayson, GA 30017-1146
Phone
(770) 656-1522
NPI assigned
May 13, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Takiyah Jones, NP
Title
Founder
Phone
(770) 656-1522

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

889 Lakeview Rd
Grayson, GA 30017-1146

Mailing address

2330 Scenic Hwy S
Snellville, GA 30078-3115
Phone (470) 798-5452

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2024.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1750139986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "470-798-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 LAKEVIEW RD",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171146",
            "telephone_number": "770-656-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GOLDEN MOMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAKIYAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "770-656-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

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