Organization Active NPI

Jasper Neurological Associates, P.C.

  • Neurology Physician
  • Jasper, GA
National Provider Identifier
1013155795
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
045910 Issued in GA
Legal business name
JASPER NEUROLOGICAL ASSOCIATES, P.C.
Practice address
3850 Camp Rd
Jasper, GA 30143-8667
Phone
(706) 253-1401
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Pearlstein, M.D.NPI 1871563403
Title
President
Phone
(706) 253-1401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 045910 GA Primary

Addresses

Primary practice location

3850 Camp Rd
Jasper, GA 30143-8667

Mailing address

3850 Camp Rd
Jasper, GA 30143-8667
Phone (706) 253-1401

Other identifiers 1

IdentifierTypeStateIssuer
00804955CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000261 GA Part B Supplier - Clinic/Group Practice 0648329946 Receives reassigned benefits from 1 practitioner
Practice locations: Jasper, GA

National Provider Directory

National Provider Directory

Locations

3850 Camp Rd
Jasper, GA 30143
Phone (706) 253-1401

3850 Camp Rd
Ste C
Jasper, GA 30143
Phone (706) 253-1401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1013155795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 CAMP RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438667",
            "telephone_number": "706-253-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 CAMP RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438667",
            "telephone_number": "706-253-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER NEUROLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "PEARLSTEIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-253-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "045910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804955C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.