Organization Active NPI

Jasonmingjian, MD, LLC

  • Psychiatry Physician
  • Cartersville, GA
National Provider Identifier
1972181535
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Apr 1, 2021

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.