Georgia Mountain Endocrinology Corporation

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

048322 Issued in GA

Legal business name

GEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION

Practice address

120 Oakside CT
Suite H
Canton, GA 30114-2471

Phone

(404) 556-9696

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jason Berner, MDNPI 1144201781

Title

President

Phone

(404) 556-9696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2435/brand/1/csg/1/fhir/r4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Andrew Berner, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jasper, GA
  • NPI 1144201781

  Endocrinology, Diabetes & Metabolism, GA

  Medicare reassignment NPD Authorized official
• Lauralie Gibson Korey, P.A.

  • Medical Physician Assistant
  • Atlanta, GA
  • NPI 1295885911

  GA

  Medicare reassignment
• Kirby Brown Reinecke, PA-C

  • Medical Physician Assistant
  • Canton, GA
  • NPI 1093047474

  GA

  Medicare reassignment
• Ellen Minick Medved, FNP-C

  • Family Nurse Practitioner
  • Roswell, GA
  • NPI 1447085899
  NPD
• Sheri Sullins Buckley, DNP, ANP-BC, FNP-C

  • Family Nurse Practitioner
  • Canton, GA
  • NPI 1073807855
  NPD (past)
• Peter Alan Karth, MD

  • Retina Specialist (Ophthalmology) Physician
  • North Bend, OR
  • NPI 1508181355
  NPD (past)
• Erica Madden, O.D.

  • Optometrist
  • Montgomery, AL
  • NPI 1346477106
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1508188558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAKSIDE CT",
            "address_2": "SUITE H",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142471",
            "telephone_number": "404-556-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKSIDE CT",
            "address_2": "SUITE H",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142471",
            "telephone_number": "404-556-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-556-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "048322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Canton, GA
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.