Active NPI
Brian David Jamail, PA-C
- Physician Assistant
- Clayton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8827
- Practice address
- 189 Bo James St Ste 105
Clayton, GA 30525-6199 - Phone
- (706) 782-0016
- Fax
- (706) 782-0180
- NPI assigned
- Aug 21, 2009
- Last updated
- Jun 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 8827 | GA | Primary |
Addresses
Primary practice location
189 Bo James St Ste 105
Clayton, GA 30525-6199
Mailing address
189 Bo James St Ste 105
Clayton, GA 30525-6199
Phone (706) 782-0016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
189 Bo James St
Suite 105
Clayton, GA 30525-6066
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8827 | GA | MD | Physician Assistant |
Interoperability endpoints
- brian.jamail.1@14758.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Clayton, GA
- NPI 1154870533
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountain Lakes Medical Center
- Critical Access Hospital
- Clayton, GA
- NPI 1326191180
-
- Rural Acute Care Hospital
- Toccoa, GA
- NPI 1033191267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1538391776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 BO JAMES ST STE 105",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305256199",
"telephone_number": "706-782-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 BO JAMES ST STE 105",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305256199",
"telephone_number": "706-782-0016",
"fax_number": "706-782-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMAIL",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "8827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, GA
- Inmed Clinical Services LLC (North Shore Healthcare Associates - Gastroenterology Services)
- Inmed Clinical Services, LLC
- Inner Gardener LLC
- Anthony Issenmann, PH.D
- Joy O. Ivemeyer, NNP
- Leslie Dulene Jones, RN
- Daniel Benjamin Katz, MD
- Molly Elizabeth Keaton
- Mary Keller, PMHNP-BC, RN
- Kramer Anesthesia Consulting Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.