Organization Active NPI

Concierge Medical Services

  • Registered Nurse First Assistant
  • Mableton, GA
National Provider Identifier
1912561259
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
CONCIERGE MEDICAL SERVICES
Practice address
394 Vinings Vintage Cir
Mableton, GA 30126-7238
Phone
(205) 250-9966
Fax
(888) 265-5564
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Kevin Justin Jablonsky, RNFA
Title
Owner
Phone
(205) 250-8523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

394 Vinings Vintage Cir
Mableton, GA 30126-7238

Mailing address

394 Vinings Vintage Cir
Mableton, GA 30126-7238
Phone (205) 250-9966

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1912561259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 VININGS VINTAGE CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267238",
            "telephone_number": "205-250-9966",
            "fax_number": "888-265-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 VININGS VINTAGE CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267238",
            "telephone_number": "205-250-9966",
            "fax_number": "888-265-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "JABLONSKY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-250-8523",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.