JODY AMAZON PC NPI 1396334330

NPI Information

NPI: 1396334330
Provider Name: JODY AMAZON PC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
2160 FOUNTAIN DR STE 220
SNELLVILLE, GA
ZIP 30078
Phone: (678) 336-9102
Get Directions

JODY AMAZON PC is a geriatric psychiatry psychiatry neurology in Snellville, GA. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. JODY AMAZON PC NPI is 1396334330. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2160 FOUNTAIN DR STE 220
SNELLVILLE, GA
ZIP 30078-022
Phone: (678) 336-9102
Fax: (770) 674-8563

The provider's authorized official is Jordyn Isabel Andrews .
The authorized official title is Practice Manager and has the following contact phone number (678) 336-9102.

The enumeration date for this NPI number is 1/14/2021 and was last updated on 1/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003122521D	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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