Nisy Narayana Jaya

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003628 Issued in GA

Practice address

3085 Terramar Dr
Chamblee, GA 30341-4612

Phone

(404) 663-5722

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1992471031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311412144",
            "telephone_number": "404-663-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 TERRAMAR DR",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414612",
            "telephone_number": "404-663-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYANA JAYA",
        "first_name": "NISY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Powell Moree, APRN, BC
• Panteha Mortazavi, PHARMD
• Ashley Mosley, MS
• Keenon Myers, DPT
• Tracy Nailor, MD, MPH
• Larriette Abaida Narh, NP-C
• National Seating & Mobility, Inc.
• Anthony Neal
• Nebs and Meds, LLC
• Binh K Nguyen, B.S.D.C

• Clinical Social Worker in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.