Jane Jurma, MD

Individual provider Active NPI Pediatrics Physician · Jasper, GA

NPI 1649777947 · NPPES record last updated Jun 3, 2022

Key facts

NPI
1649777947
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
98079 (GA)
Practice address
49 Gordon Rd
Suite 103
Jasper, GA 30143
Phone
(706) 692-9768
Fax
(706) 692-4040
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
98079GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Jasper, PC Past
since Jan 1, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 98079 GA Yes

Addresses

Primary practice location

49 Gordon Rd
Suite 103
Jasper, GA 30143

Mailing address

7777 Hennessy Blvd Ste 6004
Baton Rouge, LA 70808-4300
Phone (404) 567-0109

Other providers in Jasper, GA

All providers in Jasper, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.