Jerel James Erne, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

030600 Issued in GA

Practice address

BLDG 300 W Hospital Road
OD Eisenhower Army Medical Center
Fort Gordon, GA 30905-5650

Phone

(706) 787-2860

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497812416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FIELDSTONE WAY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094412",
            "telephone_number": "706-855-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 300 W HOSPITAL ROAD",
            "address_2": "OD EISENHOWER ARMY MEDICAL CENTER",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNE",
        "first_name": "JEREL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "030600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eisenhower Army Medical Center (Connelly Health Clinic)
• Eisenhower Army Medical Center (Usadc Ft. Gordon Tingay)
• Eisenhower Army Medical Center (TMC-4-Ft. Gordon)
• Mattie Anita Elam, PHARM.D.
• Han Eol Eom, DDS
• Signe Alexis Erne, PHYSICIAN ASSISTANT
• Marcos Antonio Esquivel Cardoso, DDS
• Kimberly Gardner Evans, PHARM. D
• Linda Ann Youngman Evans, M.D.
• Byron James Faler, MD

• Psychiatry Physician in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.