Arun K Jain MD PC
Organization Active NPI General Practice Physician · Hephzibah, GA
NPI 1407928484 · NPPES record last updated Feb 6, 2008
Key facts
- NPI
- 1407928484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 027073 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Arun K Jain, MD
- Title
- President
- Phone
- (706) 592-4077
Practitioners 1
-
Arun K Jain, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120320000184 | GA | Part B Supplier - Clinic/Group Practice | 8325208960 |
Receives reassigned benefits from 1 practitioner Practice locations: Hephzibah, GA |
National Provider Directory
Locations
2481 Highway 88
Hephzibah, GA 30815
Phone (706) 592-4077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 027073 | GA | Yes |
Addresses
Primary practice location
2481 Hwy 88
Hephzibah, GA 30815
Mailing address
2481 Hwy 88
Hephzibah, GA 30815
Phone (706) 592-4077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030044C | Medicaid | GA |
Other names
- Arun K Jain MD
Other providers in Hephzibah, GA
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- Samantha Elizabeth Anchor
- Kaila Anderson
- Ar Medical LLC
- Jayla Archie
- Augusta Family Dental, LLC
- Opal J Averhart
- Barbara Ray Hall Personal Care Home
- Lydia Darlene Barnwell-Dunn
- William Donald Beck III
All providers in Hephzibah, GA · General Practice Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.