JAHEEM R PRIOLEAU
NPI 1003643685
Military Health Care Provider - Independent Duty Medical Technicians in Moody Afb, GA

Active since September 17, 2024
3280 MITCHELL BLVD, MOODY AFB, GA 31699(292) 257-2778 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2024, Sep 17, 2024 (2 updates tracked since 2024).

About Jaheem R Prioleau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAHEEM R PRIOLEAU (NPI 1003643685) is an individual independent duty medical technicians provider in Moody Afb, Georgia and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1003643685
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJAHEEM R PRIOLEAU
Location Address3280 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3280 Mitchell BlvdMoody Afb, GA 31699-1500 · (292) 257-2778
Sole ProprietorNo
Enumeration DateSeptember 17, 2024
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1003643685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

3280 MITCHELL BLVD, Moody Afb, GA 31699

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003643685, enumerated as an "individual" on September 17, 2024.

The provider is located at 3280 MITCHELL BLVD MOODY AFB, GA 31699 and the phone number is (292) 257-2778.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.