Jasmine Bynes, MA1,PH1, NTI

Primary specialty

SpecialistTaxonomy code 174400000X

License

COI-002022 Issued in GA

Practice address

214 W Main St Ste 214a
Swainsboro, GA 30401-3150

Phone

(912) 245-9332

NPI assigned

Oct 22, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ace Hair Rejuvenation and Wellness Clinic

  • Multi-Specialty Clinic/Center
  • Swainsboro, GA
  • NPI 1699439935
  NPD Authorized official

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1790449031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 NORTH ST E",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748721",
            "telephone_number": "912-380-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST STE 214A",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013150",
            "telephone_number": "912-245-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNES",
        "first_name": "JASMINE",
        "credential": "MA1,PH1, NTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "COI-002022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Brown Davis
• Desiree Brown, D.C.
• Patricia Brown, R.PH
• Burke Hospital Company (Southeastern Spine and Pain)
• Karen Lind Butler, MD
• Deborah Calhoun, PTA
• Shannon Kersey Canady, PHARMD
• Kyle Cannady
• Cardinal Health 132, LLC (East Georgia Community Pharmacy)
• Carepartners of Georgia,Inc

• Specialist in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.