Organization Active NPI

TJ Holdings, LLC

  • Contractor
  • Duluth, GA
National Provider Identifier
1831514207
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
TJ HOLDINGS, LLC
Practice address
2805 Peachtree Industrial Blvd
Duluth, GA 30097-8169
Phone
(678) 735-7329
Fax
(678) 735-7329
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Dr. Pamella Thomas, M.D.
Title
Medical Director
Phone
(678) 735-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

2805 Peachtree Industrial Blvd
Duluth, GA 30097-8169

Mailing address

PO Box 190
Duluth, GA 30096-0004
Phone (678) 735-7329

Other names 1

  • PRIUM Doing business as

National Provider Directory

National Provider Directory

Locations

2805 Peachtree Industrial Blvd
Duluth, GA 30097
Phone (678) 735-7329

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1831514207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960004",
            "telephone_number": "678-735-7329",
            "fax_number": "678-735-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978169",
            "telephone_number": "678-735-7329",
            "fax_number": "678-735-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-735-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIUM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.