Active NPI
A Golden Moment, LLC
- Family Nurse Practitioner
- Grayson, GA
National Provider Identifier
1750139986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.