Individual provider Active NPI

Jay Lerner, D.C.

  • Chiropractor
  • Jonesboro, GA
National Provider Identifier
1336340660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007247 Issued in GA
Practice address
696 Mount Zion Rd
Ste. C4
Jonesboro, GA 30236-1597
Phone
(770) 968-1746
Fax
(770) 968-0727
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007247 GA Primary

Addresses

Primary practice location

696 Mount Zion Rd
Ste. C4
Jonesboro, GA 30236-1597

Mailing address

250 Brierwood Dr
Fayetteville, GA 30215-4618
Phone (678) 817-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090512000505 GA Practitioner - Chiropractic 3375692890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Crescent Medical Clinic IncGroup PAC ID 7214824655, 5 clinicians

Practice addresses (Care Compare)

696 Mount Zion Rd
Suite C4
Jonesboro, GA 30236-1583
Phone (770) 968-1746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007247GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Physical Medicine of South Atlanta CurrentSince Jun 29, 2025 Accepting new patients
Southern Crescent Medical Clinic, Inc. Chiropractor CurrentSince Jul 17, 2007 Accepting new patients

Locations

874 Lanier Ave W
Ste 210
Fayetteville, GA 30214
Phone (404) 265-7500

696 Mount Zion Rd
Ste C4
Jonesboro, GA 30236
Phone (770) 968-1746

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336340660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BRIERWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154618",
            "telephone_number": "678-817-4544",
            "fax_number": "770-968-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "STE. C4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361597",
            "telephone_number": "770-968-1746",
            "fax_number": "770-968-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.