Jerel James Erne, MD

Key facts

NPI

1497812416

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

030600 (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

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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": []
}

Other providers in Fort Gordon, GA

• Eisenhower Army Medical Center
• Eisenhower Army Medical Center
• Eisenhower Army Medical Center
• 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

All providers in Fort Gordon, GA · Psychiatry Physician in Georgia