Organization Active NPI

Jirah Creations

  • Prosthetics Case Management
  • Stone Mountain, GA
National Provider Identifier
1932510088
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
JIRAH CREATIONS
Practice address
7285 Meadow Point Dr
Stone Mountain, GA 30087-6350
Phone
(404) 840-6565
Fax
(770) 680-5563
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Mrs. Feleshia Yvette Wise, CERTIFIED HAIR LOSS
Title
Ceo
Phone
(404) 840-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

7285 Meadow Point Dr
Stone Mountain, GA 30087-6350

Mailing address

7285 Meadow Point Dr
Stone Mountain, GA 30087-6350
Phone (404) 840-6565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1932510088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7285 MEADOW POINT DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876350",
            "telephone_number": "404-840-6565",
            "fax_number": "770-680-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 MEADOW POINT DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876350",
            "telephone_number": "404-840-6565",
            "fax_number": "770-680-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIRAH CREATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "FELESHIA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-840-6565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.