Organization Active NPI

JM Group Services Corp

  • Clinic/Center
  • Lagrange, GA
National Provider Identifier
1831411008
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JM GROUP SERVICES CORP
Practice address
2170 W Point Rd
Suite 25
Lagrange, GA 30240-4007
Phone
(678) 664-6492
NPI assigned
Feb 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Jose L Medina
Title
Ceo
Phone
(678) 664-6492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2170 W Point Rd
Suite 25
Lagrange, GA 30240-4007

Mailing address

2170 W Point Rd
Suite 25
Lagrange, GA 30240-4007
Phone (678) 664-6492

National Provider Directory

National Provider Directory

Locations

2170 West Point Rd
Ste 25
Lagrange, GA 30240
Phone (678) 664-6492

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1831411008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W POINT RD",
            "address_2": "SUITE 25",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404007",
            "telephone_number": "678-664-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W POINT RD",
            "address_2": "SUITE 25",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404007",
            "telephone_number": "678-664-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM GROUP SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-664-6492"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.