Jean E Larson, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

GA4044 Issued in GA

Practice address

2405 Osler CT
Meredyth Professional Plaza
Albany, GA 31707

Phone

(229) 435-1458

Fax

(229) 317-2342

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Albany Arthritis & Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Albany, GA
  • NPI 1154472447
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1295836732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70969",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317080969",
            "telephone_number": "229-435-1458",
            "fax_number": "229-317-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 OSLER CT",
            "address_2": "MEREDYTH PROFESSIONAL PLAZA",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-435-1458",
            "fax_number": "229-317-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JEAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "GA4044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671629810B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Eugene Lane, PT ASSISTANT
• Randy E. Lane, PA
• Dianne Lanier
• Diosita Watin Lariosa, M.D.,P.C.
• Laro Health Solutions
• Michael Nevins Laslie, M.D.
• Dawn Laster, RN
• Andrea Denise Latimore, NP
• Donna Laue, NP
• Melissa Marie Lawrence, D.O.

• Physician Assistant in Albany, GA
• Providers in Albany, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.