Jerred Nemerson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114071 Issued in FL

Practice address

6280 W Sample Rd Ste 202
Coral Springs, FL 33067-3173

Phone

(561) 322-3588

Fax

(754) 812-5993

NPI assigned

Feb 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_advancedretinaassociates

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.

• Advanced Retina Associates Medical Group, Inc

  • Ophthalmology Physician
  • Reseda, CA
  • NPI 1730292541
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1104419910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 W SAMPLE RD STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673173",
            "telephone_number": "561-322-3588",
            "fax_number": "754-812-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 W SAMPLE RD STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673173",
            "telephone_number": "561-322-3588",
            "fax_number": "754-812-5993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6280 W Sample Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330673173",
            "country_code": "US",
            "telephone_number": "954-481-9942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMERSON",
        "first_name": "JERRED",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Alan Nelson, D.O.
• John P Nelson, D.P.M.
• Mary Ann Nelson
• Robert Samuel Nelson, D.P.M.
• Wesley Nelson, D.D.S.
• Neng Zhong DO, PLLC
• Justin Nepa, D.O.
• Bella Lynda Parawan Neri, RPT
• Nest Haven ABA Services LLC
• Neuro Wellness Centers of America, LLC

• Physician Assistant in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.