Active NPI
Preeth Jayaram, M.D.
- Family Medicine Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 90513
- Practice address
- 2451 Fillingim St # St709
Mobile, AL 36617-2238 - Phone
- (251) 445-8282
- Fax
- (251) 445-8281
- NPI assigned
- Mar 26, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 90513 | GA | Primary |
Addresses
Primary practice location
2451 Fillingim St # St709
Mobile, AL 36617-2238
Mailing address
2451 Fillingim St # St709
Mobile, AL 36617-2238
Phone (251) 445-8282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90513 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Georgia Primary Care, PC | Family Medicine | Current | Accepting new patients |
| American Current Care P.a. | Current | Accepting new patients | |
| Afc Physicians of Georgia Primary Care, PC | Family Medicine | Current | Accepting new patients |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Afc Physicians of Georgia Urgent Care, PC | Past | Accepting new patients |
Locations
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520
7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174
4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066
6509 Gateway Rd
Columbus, GA 31909
Phone (706) 243-0174
26 Parkway Dr
Ft Oglethorpe, GA 30742
Phone (706) 956-2846
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Ft. Oglethorpe, GA
- NPI 1780062380
Family Medicine
-
- Urgent Care Clinic/Center
- Pinecrest, FL
- NPI 1770719296
-
- Primary Care Clinic/Center
- Ft Oglethorpe, GA
- NPI 1083005565
Family Medicine
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1730368366
-
- Urgent Care Clinic/Center
- Marietta, GA
- NPI 1225617525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1124559646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST # ST709",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172238",
"telephone_number": "251-445-8282",
"fax_number": "251-445-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST # ST709",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172238",
"telephone_number": "251-445-8282",
"fax_number": "251-445-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAM",
"first_name": "PREETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-26",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "90513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.