Jencare Neiborhood Medical Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

JENCARE NEIBORHOOD MEDICAL CENTER

Practice address

2209 Brandon LN SW
Conyers, GA 30094-5084

Phone

(832) 563-7854

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Bright Saunders

Title

RN

Phone

(832) 563-7854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1831622976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 BRANDON LN SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945084",
            "telephone_number": "832-563-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 BRANDON LN SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945084",
            "telephone_number": "832-563-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCARE NEIBORHOOD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "BRIGHT",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "832-563-7854",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarel Jean-Louis Jr., D.C.
• Gregory Jean, RN
• Shauna S. Jeffcoat, LE, CPT
• Faith Jeffers
• Tonya K Jefferson, APRN
• Jill Osborne, LPC, LLC
• Rehana Jiwani, NP
• Josephine JN Baptiste Louis
• Mabelle Adore Jobeh
• John a. Hughes DDS PC

• Preferred Provider Organization in Conyers, GA
• Providers in Conyers, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.