JALISA L SPY
NPI 1679140826
Prosthetic/Orthotic Supplier in Marietta, GA

Active since June 07, 2021
1860 SANDY PLAINS RD STE 204, MARIETTA, GA 30066(614) 999-3665 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jalisa L Spy NPPES

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

JALISA L SPY (NPI 1679140826) is an individual prosthetic/orthotic supplier provider in Marietta, Georgia and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1679140826
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameJALISA L SPY
Location Address1860 SANDY PLAINS RD STE 204Marietta, GA 30066-7864
Mailing Address1860 Sandy Plains Rd Ste 204Marietta, GA 30066-7864 · (614) 999-3665
Sole ProprietorYes
Enumeration DateJune 7, 2021
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1679140826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
1860 SANDY PLAINS RD STE 204, Marietta, GA 30066

Other Providers at the Same Location NPPES 3

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

In Home Supportive Care
1860 SANDY PLAINS RD STE 204
MARIETTA, GA 30066
Speech-Language Pathologist
1860 SANDY PLAINS RD STE 204
MARIETTA, GA 30066
Doula
1860 SANDY PLAINS RD STE 204
MARIETTA, GA 30066

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 Jalisa Spy's NPI number?

The NPI number for Jalisa Spy is 1679140826. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Jalisa Spy located?

Jalisa Spy practices at 1860 Sandy Plains Rd Ste 204, Marietta, GA 30066. The listed phone number is (614) 999-3665.

What is Jalisa Spy's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Jalisa Spy was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.