Active NPI
JS Healthcare, LLC.
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1831850163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- JS HEALTHCARE, LLC.
- Practice address
- 175 Langley Dr Ste 1
Lawrenceville, GA 30046-6929 - Phone
- (470) 589-2648
- NPI assigned
- Jan 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra Harvey Stewart
- Title
- Clinical Director
- Phone
- (470) 450-1355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
175 Langley Dr Ste 1
Lawrenceville, GA 30046-6929
Mailing address
2354 Mitford CT
Dacula, GA 30019-7404
Phone (470) 589-2648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
175 Langley Dr
Ste 1
Lawrenceville, GA 30046
Phone (470) 589-2648
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceville, GA
- NPI 1245825611
-
- Social Worker
- Union City, GA
- NPI 1578342713
-
- Psychiatric/Mental Health Nurse Practitioner
- Loganville, GA
- NPI 1609225192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1831850163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 MITFORD CT",
"city": "DACULA",
"state": "GA",
"postal_code": "300197404",
"telephone_number": "470-589-2648",
"fax_number": "470-239-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 LANGLEY DR STE 1",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300466929",
"telephone_number": "470-589-2648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JS HEALTHCARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-08",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "HARVEY STEWART",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "470-450-1355",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.