Active NPI
Cymone Jeans
- Specialist
- Lawrenceville, GA
National Provider Identifier
1912620386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 316 W Pike St Ste 202I
Lawrenceville, GA 30046-4878 - Phone
- (678) 568-6058
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
316 W Pike St Ste 202I
Lawrenceville, GA 30046-4878
Mailing address
900 Legacy Park Dr Apt 525
Lawrenceville, GA 30043-8719
Phone (901) 361-0624
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cymonejeansbeauty.com | Direct | |
| CONNECT URL | www.cymonejeansbeauty.com/contact |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1912620386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 LEGACY PARK DR APT 525",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438719",
"telephone_number": "901-361-0624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W PIKE ST STE 202I",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464878",
"telephone_number": "678-568-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANS",
"first_name": "CYMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cymonejeansbeauty.com",
"affiliation": "N",
"endpointDescription": "Business Website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "316 W Pike St Ste 202I",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300464878",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.cymonejeansbeauty.com/contact",
"affiliation": "N",
"endpointDescription": "Contact",
"address_1": "316 W Pike St Ste 202I",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300464878",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.