Individual provider Active NPI

Jason Berman, D.O.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1104367358
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81655 Issued in GA
Practice address
106 Enterprise CT Ste a
Columbus, GA 31904-9096
Phone
(706) 321-2555
Fax
(706) 323-0245
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 81655 GA Primary

Addresses

Primary practice location

106 Enterprise CT Ste a
Columbus, GA 31904-9096

Mailing address

106 Enterprise CT Ste C
Columbus, GA 31904-9096
Phone (706) 321-0476

Other practice location 1

3934 Woodruff Rd
Columbus, GA 31904-6818
Phone (706) 322-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710002377 GA Practitioner - Family Practice 0749550556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgialina Physical Therapy Associates LLC 406 clinicians
Horizons Diagnostics, L.L.C. 24 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

3934 Woodruff Rd
Columbus, GA 31904-6818
Phone (706) 322-0304

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Centerwell Home Health Home health agency, Columbus, GA, CCN 117056
  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
81655GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Diagnostics, L.L.C. Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Horizons Diagnostics, L.L.C. Single Specialty CurrentSince Sep 1, 2020 Accepting new patients

Locations

106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1104367358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT STE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049096",
            "telephone_number": "706-321-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049096",
            "telephone_number": "706-321-2555",
            "fax_number": "706-323-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3934 Woodruff Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046818",
            "country_code": "US",
            "telephone_number": "706-322-0304",
            "fax_number": "706-324-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JASON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "81655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.