Active NPI
Jay Alan Erdman, M.D.
- Emergency Medicine Physician
- Newnan, GA
National Provider Identifier
1700874864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E91398
- Practice address
- 60 Hospital Rd
Newnan, GA 30263-1210 - Phone
- (800) 532-6151
- Fax
- (770) 251-7873
- NPI assigned
- Oct 12, 2005
- Last updated
- Nov 24, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E91398 | GA | Primary |
Addresses
Primary practice location
60 Hospital Rd
Newnan, GA 30263-1210
Mailing address
PO Box 5661
Athens, GA 30604-5661
Phone (706) 354-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000428315J | 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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E91398 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerginet, LLC | Past | Accepting new patients | |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients | |
| Northside Cherokee Urgent Care, LLC | Emergency Medicine | Past | Accepting new patients |
| Emerginet Henry, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1811946627
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1164480869
-
- Urgent Care Clinic/Center
- Atlanta, GA
- NPI 1740515618
Emergency Medicine
-
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
- NPI 1194887455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1700874864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5661",
"city": "ATHENS",
"state": "GA",
"postal_code": "306045661",
"telephone_number": "706-354-5770",
"fax_number": "706-354-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631210",
"telephone_number": "800-532-6151",
"fax_number": "770-251-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMAN",
"first_name": "JAY",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "E91398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000428315J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.