JBLB HOLDINGS, LLC (NPI# 1740561125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740561125 |
| Entity Type | Organization |
| Organization Name | JBLB HOLDINGS, LLC |
| Other Organization Name | PROMEDCARE |
| Practice Address |
400 Perimeter Center Ter North Suite 900 Atlanta GA 30346 |
| Mailing Address |
8343 Roswell Rd # 283 Atlanta GA 30350-2810 |
| Practice Telephone | 4045741945 |
| Practice Fax Number | 8008096184 |
| Mailing Telephone | 4045741945 |
| Mailing Fax Number | 8008096184 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | DR. JOHN BERBERIAN (PRESIDENT) |
| Authorized Official Telephone | 4045741945 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | H7626 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ProMedCare | Doing Business As Name - Organization |
| Street Address |
400 PERIMETER CENTER TER NORTH SUITE 900 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730694332 | Man Fung Lam | Behavioral Analyst | 302 Perimeter Ctr N Apt 2431, Atlanta, GA 30346 | 2017-12-05 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1790139954 | Rachel Brandeis | Dietitian, Registered | 400 Perimeter Center Terrace North, Suite 900, Atlanta, GA 30346 | 2016-04-14 |
| 1952778441 | Kaitlyn Victoria Fredrick | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346 | 2015-08-31 |
| 1689917965 | Taryn Abrams | Psychiatry & Neurology | 41 Perimeter Center East, Suite 250, Dunwoody, GA 30346 | 2013-04-04 |
| 1154683381 | Coby John Lund | Behavioral Analyst | 53 Perimeter Center East, Suite 350, Atlanta, GA 30346 | 2012-06-13 |
| 1306113832 | Shannah Melanie Bachar | Behavioral Analyst | 53 Perimeter Center East Suite 350, Atlanta, GA 30346 | 2011-11-29 |
| 1215109996 | Alphonso D Porter | Technician/Technologist | 3118-a Washington Rd, East Point, GA 30346 | 2008-04-02 |
| 1437275005 | Elaine Gilner Friedman | Social Worker | 12234 Madison Drive, Atlanta, GA 30346 | 2007-03-22 |
| 1225123383 | Easter Seals North Georgia, Inc. | Voluntary or Charitable | 53 Perimeter Center East Suite 550, Atlanta, GA 30346 | 2006-10-04 |
| Find all providers in zip 30346 | ||||
| Taxonomy Code | 204R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Electrodiagnostic Medicine |
| Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992840 | Chatam Neurology, LLC | Electrodiagnostic Medicine | 925b Peachtree St Ne Ste 166, Atlanta, GA 30309-3918 | 2018-08-21 |
| 1134613045 | Coastal Neuro Services, LLC | Electrodiagnostic Medicine | 925b Peachtree St Ne Ste 845, Atlanta, GA 30309-3918 | 2018-06-15 |
| 1063902807 | Northeast Georgia Neurology, LLC | Electrodiagnostic Medicine | 925b Peachtree St Ne Ste 835, Atlanta, GA 30309-3918 | 2018-05-17 |
| 1609385533 | Peachtree Neuromonitoring, LLC | Electrodiagnostic Medicine | 925b Peachtree St Ne Ste 750, Atlanta, GA 30309-3918 | 2017-09-22 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1861958746 | Atlanta Neurology LLC | Electrodiagnostic Medicine | 925b Peachtree St Ne Ste 166, Atlanta, GA 30309-3918 | 2019-02-15 |
| 1649746173 | Atlanta Intra-op Monitoring LLC | Electrodiagnostic Medicine | 1150 Hammond Dr Ste 400, Atlanta, GA 30328-8617 | 2018-10-23 |
| 1366936692 | Savannah Neurological Services, LLC | Electrodiagnostic Medicine | 925b Peachtree St Ne Ste 845, Atlanta, GA 30309-3918 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336795400 | Johns Creek Neurology, LLC | Electrodiagnostic Medicine | 850 Dogwood Rd Ste B2002018, Lawrenceville, GA 30044-7218 | 2019-08-14 |
| 1861961427 | Live Oak Neurology LLC | Electrodiagnostic Medicine | 850 Dogwood Rd Ste B2002002, Lawrenceville, GA 30044-7218 | 2018-11-13 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1437639309 | North Atlanta Neurological Services, LLC | Electrodiagnostic Medicine | 850 Dogwood Rd # 2002017, Lawrenceville, GA 30044-7218 | 2018-08-20 |
| 1336504224 | Neuraxis Monitoring, LLC | Electrodiagnostic Medicine | 22 W Bryan St, Pmb 226, Savannah, GA 31401-2604 | 2015-12-21 |
| 1366780264 | Helmi Advanced Medical | Electrodiagnostic Medicine | 123 Elliswood Drive, Satesboro, GA 30458 | 2013-01-28 |
| 1720439136 | Atlanta Sports and Spine LLC | Electrodiagnostic Medicine | 2340 Patrick Henry Pkwy, 150, Mcdonough, GA 30253-4325 | 2016-06-27 |
| 1083939136 | Athens Regional Specialty Services | Electrodiagnostic Medicine | 1500 Oglethorpe Ave, Ste 600a, Athens, GA 30606-2179 | 2010-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.