NPIMap

Organization Active NPI

Hariyebbe C. Jayaraj, MD, PC

Doing business as Adult Health Care

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1659382869
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
020746 Issued in GA
Legal business name
HARIYEBBE C. JAYARAJ, MD, PC
Doing business as
Adult Health Care
Practice address
1205 Russell Pkwy
Warner Robins, GA 31088-5538
Phone
(478) 929-4432
Fax
(478) 922-7109
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Hariyebbe C Jayaraj, MDNPI 1790720852
Title
Owner
Phone
(478) 929-4432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 020746 GA Primary

Addresses

Primary practice location

1205 Russell Pkwy
Warner Robins, GA 31088-5538

Mailing address

1205 Russell Pkwy
Warner Robins, GA 31088-5538
Phone (478) 929-4432

Other identifiers 1

IdentifierTypeStateIssuer
00188097AMedicaidGA

Other names 1

  • Adult Health Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1659382869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885538",
            "telephone_number": "478-929-4432",
            "fax_number": "478-922-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885538",
            "telephone_number": "478-929-4432",
            "fax_number": "478-922-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARIYEBBE C. JAYARAJ, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "JAYARAJ",
        "authorized_official_first_name": "HARIYEBBE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-929-4432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "020746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00188097A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.