NPIMap

Organization Active NPI

Jerjis T Alajaji

  • Diagnostic Radiology Physician
  • Bainbridge, GA
National Provider Identifier
1295903755
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
058598 Issued in GA
Legal business name
JERJIS T ALAJAJI
Practice address
1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone
(229) 243-6180
Fax
(229) 243-3325
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Jerjis T Alajaji, MDNPI 1063496628
Title
Owner
Phone
(734) 677-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 058598 GA Primary

Addresses

Primary practice location

1500 E Shotwell St
Bainbridge, GA 39819-4256

Mailing address

PO Box 3430
Attn: Jackie Gee
Ann Arbor, MI 48106-3430
Phone (800) 764-7297

Other identifiers 5

IdentifierTypeStateIssuer
1063496628OtherGABS INDVIDUAL ID NBR
768852824AMedicaidGA
9177139OtherGACIGNA
P00414989OtherGARR MEDICARE
11503726OtherGACAQH

Other names 1

  • Jerjis T. Alajaji, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

25 Penncraft Ave
Ste E
Chambersburg, PA 17201
Phone (717) 263-1383

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1295903755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3430",
            "address_2": "ATTN: JACKIE GEE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063430",
            "telephone_number": "800-764-7297",
            "fax_number": "734-677-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194256",
            "telephone_number": "229-243-6180",
            "fax_number": "229-243-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERJIS T ALAJAJI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "ALAJAJI",
        "authorized_official_first_name": "JERJIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-677-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "058598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS INDVIDUAL ID NBR",
            "identifier": "1063496628",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768852824A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9177139",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00414989",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11503726",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerjis T. Alajaji, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.