Active NPI
Aja McLemore
- Independent Medical Examiner Physician
- Statesboro, GA
National Provider Identifier
1508346537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- 058620067
- Practice address
- 111 Rucker LN Apt 1203
Statesboro, GA 30458-3323 - Phone
- (229) 529-4425
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | 058620067 | GA | Primary |
Addresses
Primary practice location
111 Rucker LN Apt 1203
Statesboro, GA 30458-3323
Mailing address
111 Rucker LN Apt 1203
Statesboro, GA 30458-3323
Phone (229) 529-4425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058620067 | GA | MD | Independent Medical Examiner Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1508346537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 RUCKER LN APT 1203",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304583323",
"telephone_number": "229-529-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 RUCKER LN APT 1203",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304583323",
"telephone_number": "229-529-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEMORE",
"first_name": "AJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "GA",
"license": "058620067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.