Active NPI
Eric A Jablonski, DC
- Chiropractor
- Martinez, GA
National Provider Identifier
1255403481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5326
- Practice address
- 211 Bobby Jones Expy
Ste C
Martinez, GA 30907-5250 - Phone
- (706) 860-3355
- Fax
- (706) 860-8765
- NPI assigned
- Nov 14, 2006
- Last updated
- Apr 11, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5326 | GA | Primary |
Addresses
Primary practice location
211 Bobby Jones Expy
Ste C
Martinez, GA 30907-5250
Mailing address
211 Bobby Jones Expy
Ste C
Martinez, GA 30907-5250
Phone (706) 860-3355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20270G5260 | Other | GA | MEDICARE GROUP ACTION MEDICAL CENTER LLC |
| GRP3167 | Other | GA | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Bobby Jones Expy
Suite C
Martinez, GA 30907-5253
Phone (706) 836-6218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5326 | GA | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Martinez, GA
- NPI 1811141070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1255403481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BOBBY JONES EXPY",
"address_2": "STE C",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309075250",
"telephone_number": "706-860-3355",
"fax_number": "706-860-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BOBBY JONES EXPY",
"address_2": "STE C",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309075250",
"telephone_number": "706-860-3355",
"fax_number": "706-860-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "ERIC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "5326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ACTION MEDICAL CENTER LLC",
"identifier": "20270G5260",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "GRP3167",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.