JODY AMAZON PC
NPI 1396334330
Psychiatry & Neurology - Geriatric Psychiatry in Snellville, GA

Q: What is Jody Amazon PC's NPI number?

The NPI number for Jody Amazon PC is 1396334330. It was assigned to this organization in the NPPES registry on January 14, 2021. The provider is doing business as Ahava Healthcare.

Q: What is Jody Amazon PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Q: When was this NPI record last updated?

The NPPES record for Jody Amazon PC was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2021

2160 FOUNTAIN DR STE 220, SNELLVILLE, GA 30078(678) 336-9102(770) 674-8563 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jody Amazon Pc NPPES

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

JODY AMAZON PC (NPI 1396334330), doing business as Ahava Healthcare, is a healthcare organization registered as a geriatric psychiatry in Snellville, Georgia and active in the NPI registry since January 2021. The organization lists Jordyn Isabel Andrews, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396334330

Entity TypeOrganization

Primary Taxonomy2084P0805X

Legal Business NameJODY AMAZON PC

Location Address2160 FOUNTAIN DR STE 220Snellville, GA 30078-7022

Mailing Address2160 Fountain Dr Ste 220Snellville, GA 30078-7022 · (678) 336-9102 · Fax (770) 674-8563

Phone(678) 336-9102

Fax(770) 674-8563

Organization SubpartNo

Authorized OfficialJordyn Isabel AndrewsPractice Manager · (678) 336-9102

Enumeration DateJanuary 14, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1396334330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0805X

Definition

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.

2160 FOUNTAIN DR STE 220, Snellville, GA 30078

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Other Names 1

Doing Business AsAhava Healthcare

Other Identifiers 1

Medicaid003122521DGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jody Amazon Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jody Amazon PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jody Amazon, N.P.

Nurse Practitioner

NPI 1427038470

2160 FOUNTAIN DR STE 220
Snellville, GA 30078

(678) 336-9102

✔ PECOS✔ Accepts MedicareSame address

Jae Pak, M.D.

Psychiatry

NPI 1740280551

2160 FOUNTAIN DR SUITE 200
Snellville, GA 30078

(770) 982-1111

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Amazon PC's NPI number?

The NPI number for Jody Amazon PC is 1396334330. It was assigned to this organization in the NPPES registry on January 14, 2021. The provider is doing business as Ahava Healthcare.

Where is Jody Amazon PC located?

Jody Amazon PC is located at 2160 Fountain Dr Ste 220, Snellville, GA 30078. The listed phone number is (678) 336-9102.

What is Jody Amazon PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Jody Amazon PC enrolled in Medicare?

Yes. Jody Amazon PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jody Amazon PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jody Amazon PC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jody Amazon PC was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.