Arun K Jain MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

027073 Issued in GA

Legal business name

ARUN K JAIN MD PC

Practice address

2481 Hwy 88
Hephzibah, GA 30815

Phone

(706) 592-4077

Fax

(706) 592-2598

NPI assigned

Nov 14, 2006

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arun K Jain, MDNPI 1558539429

Title

President

Phone

(706) 592-4077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arun K Jain MD Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arun K Jain, M.D.

  • General Practice Physician
  • Hephzibah, GA
  • NPI 1558539429
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1407928484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 HWY 88",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "30815",
            "telephone_number": "706-592-4077",
            "fax_number": "706-592-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 HWY 88",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "30815",
            "telephone_number": "706-592-4077",
            "fax_number": "706-592-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUN K JAIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-592-4077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "027073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030044C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arun K Jain MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.