G. Jeryl Everidge, M.D.,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

14906 Issued in GA

Legal business name

G. JERYL EVERIDGE, M.D.,P.C.

Practice address

2022 10TH Ave
Suite a
Columbus, GA 31901-3724

Phone

(706) 324-0081

Fax

(706) 324-1965

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 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

George Jeryl Everidge, M.D.NPI 1154381861

Title

Physician

Phone

(706) 324-0081

Specialties & licenses 1

Addresses

Other identifiers 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.

• George Jeryl Everidge, M.D.

  • Gynecology Physician
  • Columbus, GA
  • NPI 1154381861
  Authorized official Same address or phone

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1417120809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 10TH AVE",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013724",
            "telephone_number": "706-324-0081",
            "fax_number": "706-324-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 10TH AVE",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013724",
            "telephone_number": "706-324-0081",
            "fax_number": "706-324-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. JERYL EVERIDGE, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "EVERIDGE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JERYL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-324-0081",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "14906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00151841A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lisa Marie Futrell, N.P.
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• Camilo V Gabiana, M.D.
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• Specialist in Columbus, GA
• Providers in Columbus, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.