Active NPI
Mairin Jerome, M.D.
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1356738983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 87501
- Practice address
- 101 Marietta St NW Ste 3100
Atlanta, GA 30303-2731 - Phone
- (401) 301-6247
- NPI assigned
- Apr 21, 2015
- Last updated
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 87501 | GA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 304917-01 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DR.0062830 | CO |
Addresses
Primary practice location
101 Marietta St NW Ste 3100
Atlanta, GA 30303-2731
Mailing address
1819 Peachtree Rd NE Ste 250
Atlanta, GA 30309-1857
Phone (770) 852-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0062830 | CO | MD | Physical Medicine & Rehabilitation Physician |
| 87501 | GA | MD | Physical Medicine & Rehabilitation Physician |
| 304917-01 | NY | MD | Physical Medicine & Rehabilitation Physician |
| 304917 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H Susz DPM, PC | Current | Accepting new patients | |
| Harbor View Medical Services LLC | Current | Accepting new patients | |
| Centeno-Schultz, Inc | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Integrative Physical Medicine | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
6151 Thornton Ave
Ste 400
Des Moines, IA 50321
Phone (515) 298-7208
Organizations & group practices 5
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.
-
dba Regenexx Des Moines
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Des Moines, IA
- NPI 1194108209
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1639092240
-
- Podiatrist
- Russell, PA
- NPI 1073754388
-
dba Centeno Schultz Clinic
- Interventional Pain Medicine Physician
- Broomfield, CO
- NPI 1003864398
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1356738983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 PEACHTREE RD NE STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091857",
"telephone_number": "770-852-5551",
"fax_number": "770-852-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MARIETTA ST NW STE 3100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303032731",
"telephone_number": "401-301-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEROME",
"first_name": "MAIRIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "87501",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "304917-01",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "DR.0062830",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.