Jeavaat Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JEAVAAT MEDICAL LLC

Practice address

4449 Covington Hwy
Decatur, GA 30035-1214

Phone

(404) 254-2973

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Brandon TatumNPI 1457887614

Title

Owner

Phone

(470) 385-0221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Tatum

  • Contractor
  • Decatur, GA
  • NPI 1457887614
  NPD Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1770047813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351214",
            "telephone_number": "404-254-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351214",
            "telephone_number": "404-254-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAVAAT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-385-0221"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhanumathi Jayakumar, ANP-C
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• Charlene Andrea Jeanpierre, RN
• Jedidiah'S Investment Holdings, Inc.
• Jeff a Traub, MD, PC
• Jeffrey K Waters D.M.D., P.C
• Kimberly Jeffrey, M.S. CCC/SLP
• Annemarie Jeffries, PSYD

• Durable Medical Equipment & Medical Supplies in Decatur, GA
• Providers in Decatur, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.