Active NPI
Jules M Nehmetallah, MD
- Hospitalist Physician
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 055262
- Practice address
- 410 Darling Ave
Waycross, GA 31501-5246 - Phone
- (913) 338-6438
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 055262 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 055262 | GA |
Addresses
Primary practice location
410 Darling Ave
Waycross, GA 31501-5246
Mailing address
PO Box 173
Waycross, GA 31502-0173
Phone (912) 338-6438
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 735143213F | Medicaid | GA | |
| P00239396 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055262 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of South Carolina, LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Integrated Regional Laboratories Pathology Services, LLC | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Aiken Regional Medical Centers LLC | Past | Accepting new patients |
Locations
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
1921 Alice St
Ste 5A
Waycross, GA 31501
Phone (912) 283-4747
1921 Alice St
Ste 4A
Waycross, GA 31501
Phone (912) 283-5616
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690
410 Darling Ave
Waycross, GA 31501
Phone (912) 283-3030
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- jules.nehmetallah@mhs.gadirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Hospitalist Physician
- Aiken, SC
- NPI 1922428358
Internal Medicine
-
- Rehabilitation Hospital Unit
- Waycross, GA
- NPI 1548322084
-
dba IRL Pathology Services
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1003880576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315020173",
"telephone_number": "912-338-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 DARLING AVE",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315015246",
"telephone_number": "913-338-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEHMETALLAH",
"first_name": "JULES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "055262",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "055262",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "735143213F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00239396",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
- Najam Azmat, M. D., P. C.
- Narquest Healthcare Services, LLC (Treatment Center of Waycross)
- National Vision, Inc. (Vision Center)
- Kalpana Nayak, M.D.
- Manel Dinesh Nayak, M.D.
- Neurological Associates of the South, LLC
- Stacie Norman, LAPC
- Deirdre K O'Brien, NP-C
- Randall Frederick O'Brien, M.D.
- Aleta Deonne O'Quinn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.