Active NPI
Karie Elizabeth Jeter, MD
- Surgery Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 101529
- Practice address
- 1600 Vernon Rd Ste a
Lagrange, GA 30240-4143 - Phone
- (706) 803-7570
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 101529 | GA | Primary |
Addresses
Primary practice location
1600 Vernon Rd Ste a
Lagrange, GA 30240-4143
Mailing address
102 Grace CT
Lagrange, GA 30241-2101
Other practice location 1
1514 Vernon Rd
LaGrange, GA 30240-4131
Phone (706) 882-1411
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjeter580723@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Louisville School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905
1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222
1600 Vernon Rd
Lagrange, GA 30240-4143
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar West Georgia Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
860 Brookstone Centre Pkwy
Ste B
Columbus, GA 31904
Phone (706) 321-2050
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
1600 Vernon Rd
Ste A
Lagrange, GA 30240
Phone (706) 880-7321
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1376076141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 GRACE CT",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302412101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 VERNON RD STE A",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404143",
"telephone_number": "706-803-7570"
}
],
"practiceLocations": [
{
"address_1": "1514 Vernon Rd",
"address_purpose": "LOCATION",
"city": "LaGrange",
"state": "GA",
"postal_code": "302404131",
"country_code": "US",
"telephone_number": "706-882-1411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JETER",
"first_name": "KARIE",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "101529",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kjeter580723@directwellstar.org",
"affiliation": "N",
"address_1": "1600 Vernon Rd Ste A",
"city": "LaGrange",
"state": "GA",
"country_code": "US",
"postal_code": "302404143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.
- 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.