NPIMap

Individual provider Active NPI

Jason Andrew Berner, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jasper, GA
National Provider Identifier
1144201781
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
048322 Issued in GA
Practice address
220 J L White Dr
Suite 110
Jasper, GA 30143-4893
Phone
(706) 253-3842
Fax
(706) 253-3837
NPI assigned
Nov 10, 2005
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 048322 GA Primary

Addresses

Primary practice location

220 J L White Dr
Suite 110
Jasper, GA 30143-4893

Mailing address

220 J L White Dr
Suite 110
Jasper, GA 30143-4893
Phone (706) 253-3842

Other identifiers 2

IdentifierTypeStateIssuer
P00348390OtherGARAILROAD MEDICARE
029441OtherGABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000428 GA Practitioner - EndocrinologyPractitioner - Internal Medicine 0143228593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 Oakside CT
Suite H
Canton, GA 30114-2471

120 Oakside CT
Suite H
Canton, GA 30114-2478
Phone (770) 722-6222

120 Oakside CT H
Canton, GA 30114-2471

120 Oakside CT H
Canton, GA 30114-2478

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
93.41
Improvement activities
40
Cost
75.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048322GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountain Endocrinology Corporation Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2010 Accepting new patients
Five Star Diagnostics LLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 6, 2017 Accepting new patients
Reach7 Studio 1 North Columbus LLC Endocrinology, Diabetes & Metabolism PastSince Jun 17, 2024 Accepting new patients

Locations

1 Chase Corporate Dr
Ste 400
Hoover, AL 35244
Phone (205) 538-3076

120 Oakside Ct
Ste H
Canton, GA 30114
Phone (678) 880-8770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2435/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.berner.1@2435.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1144201781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR",
            "address_2": "SUITE 110",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434893",
            "telephone_number": "706-253-3842",
            "fax_number": "706-253-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR",
            "address_2": "SUITE 110",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434893",
            "telephone_number": "706-253-3842",
            "fax_number": "706-253-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNER",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "048322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00348390",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "029441",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.