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JAS MEDICAL & WELLNESS CENTER OF GEORGIA LLC
NPI 1588008965
Internal Medicine - Hematology & Oncology in Marietta, GA

Active since April 29, 2013
1075 WHITLOCK AVE SW, SUITE I, MARIETTA, GA 30064(678) 797-1104 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jas Medical & Wellness Center Of Georgia Llc NPPES

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

JAS MEDICAL & WELLNESS CENTER OF GEORGIA LLC (NPI 1588008965) is a healthcare organization registered as a hematology & oncology in Marietta, Georgia and active in the NPI registry since April 2013. The organization lists Otis L Bonner, Attorney, as its authorized official.

NPPES Registry Identity

NPI1588008965
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameJAS MEDICAL & WELLNESS CENTER OF GEORGIA LLC
Location Address1075 WHITLOCK AVE SW, SUITE IMarietta, GA 30064-1941
Mailing Address1075 Whitlock Ave Sw, Suite IMarietta, GA 30064-1941 · (678) 797-1104
Phone(678) 797-1104
Organization SubpartNo
Authorized OfficialOtis L BonnerAttorney · (770) 940-4975
Enumeration DateApril 29, 2013
✔ NPI 1588008965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedChiropractorTaxonomy 111N00000X
1075 WHITLOCK AVE SW, Marietta, GA 30064
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DASOG LLC
Dentist (General Practice)
1075 WHITLOCK AVE SW, SUITE C
MARIETTA, GA 30064
Cobb County (770) 422-5614
A & J FAMILY CHIROPRACTIC INC.
Chiropractor
1075 WHITLOCK AVE SW, SUITE I
MARIETTA, GA 30064
Cobb County (678) 797-1104

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 Jas Medical & Wellness Center Of Georgia LLC's NPI number?

The NPI number for Jas Medical & Wellness Center Of Georgia LLC is 1588008965. It was assigned to this organization in the NPPES registry on April 29, 2013.

Where is Jas Medical & Wellness Center Of Georgia LLC located?

Jas Medical & Wellness Center Of Georgia LLC is located at 1075 Whitlock Ave SW Suite I, Marietta, GA 30064. The listed phone number is (678) 797-1104.

What is Jas Medical & Wellness Center Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Jas Medical & Wellness Center Of Georgia LLC was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.