Active NPI
Veena U Jerath, M.D.
- Neurology Physician
- Augusta, GA
National Provider Identifier
1609850650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 022938
- Practice address
- 1228 Augusta West Pkwy
Augusta, GA 30909-1854 - Phone
- (706) 868-8998
- Fax
- (706) 868-1071
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 022938 | GA | Primary |
Addresses
Primary practice location
1228 Augusta West Pkwy
Augusta, GA 30909-1854
Mailing address
1228 Augusta West Pkwy
Augusta, GA 30909-1854
Phone (706) 868-8998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000269288B | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022938 | GA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218240000000",
"number": "1609850650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 AUGUSTA WEST PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091854",
"telephone_number": "706-868-8998",
"fax_number": "706-868-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 AUGUSTA WEST PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091854",
"telephone_number": "706-868-8998",
"fax_number": "706-868-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERATH",
"first_name": "VEENA",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2008-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "022938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000269288B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.