Active NPI
Jasonmingjian, MD, LLC
- Psychiatry Physician
- Cartersville, GA
National Provider Identifier
1972181535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- JASONMINGJIAN, MD, LLC
- Practice address
- 100 Market Place Blvd Ste 309
Cartersville, GA 30121-8717 - Phone
- (470) 363-3960
- NPI assigned
- Apr 1, 2021
- 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
- Dr. Jason Ming Jian, MD
- Title
- Ceo
- Phone
- (205) 482-8024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
100 Market Place Blvd Ste 309
Cartersville, GA 30121-8717
Mailing address
780 Oak Trail Dr
Marietta, GA 30062-3836
Phone (205) 482-8024
Other names 1
- JMJ Psychiatric and Behavior Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617235200000",
"number": "1972181535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 OAK TRAIL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300623836",
"telephone_number": "205-482-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARKET PLACE BLVD STE 309",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301218717",
"telephone_number": "470-363-3960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASONMINGJIAN, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A",
"authorized_official_last_name": "JIAN",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "MING",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "205-482-8024",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JMJ Psychiatric and Behavior Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.