Constance Elanie Jamison

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO093077 Issued in LA

Practice address

3420 E Ponce de Leon Ave
Scottdale, GA 30079-1202

Phone

(770) 256-7754

NPI assigned

Dec 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jazz-Me Hair Designs, LLC

  • Prosthetic/Orthotic Supplier
  • Scottdale, GA
  • NPI 1245409432
  NPD (past) Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1982888335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1583",
            "city": "PINE LAKE",
            "state": "GA",
            "postal_code": "300721583",
            "telephone_number": "770-256-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E PONCE DE LEON AVE",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791202",
            "telephone_number": "770-256-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "CONSTANCE",
        "middle_name": "ELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "CO093077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helia Therapy LLC
• Kiara Hollingworth
• Lana Holmes, PSY.D.
• Lillie Beatrice Huddleston, PHD
• Shari Tamar James
• Jazz-Me Hair Designs, LLC
• Shauwnn Dammeon Johnson, PTA
• Barbara J. Lewison, LCSW
• Life Link EMS, LLC
• Lifetime Living Solutions

• Specialist in Scottdale, GA
• Providers in Scottdale, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.