Individual provider Active NPI

Eric James Zerla, M.D.

  • Pediatrics Physician
  • Lagrange, GA
National Provider Identifier
1073625034
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
050299 Issued in GA
Practice address
1550 Doctors Dr
Suite 300
Lagrange, GA 30240-4140
Phone
(706) 884-2686
Fax
(706) 812-0468
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 050299 GA Primary

Addresses

Primary practice location

1550 Doctors Dr
Suite 300
Lagrange, GA 30240-4140

Mailing address

1550 Doctors Dr
Suite 300
Lagrange, GA 30240-4140
Phone (706) 884-2686

Other identifiers 1

IdentifierTypeStateIssuer
959121173EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050299GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Clinic of Lagrange, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric.zerla@westgahealth.gadirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073625034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 DOCTORS DR",
            "address_2": "SUITE 300",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404140",
            "telephone_number": "706-884-2686",
            "fax_number": "706-812-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 DOCTORS DR",
            "address_2": "SUITE 300",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404140",
            "telephone_number": "706-884-2686",
            "fax_number": "706-812-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERLA",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "050299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959121173E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.