Jorie Muraida, DO
Individual provider Active NPI Pediatrics Physician · Colbert, GA
NPI 1780176305 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1780176305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- R-11149 (IA)
- Practice address
- 11 Charlie Morris Rd
Colbert, GA 30628-2445 - Phone
- (706) 788-2127
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Poston Rd
Charleston, SC 29407-3428
PO Box
Suite 23321
New York, NY 10087-3321
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210716002798 | GA | Practitioner - Pediatric Medicine | 9931501699 | |
| I20250825001840 | SC | Practitioner - Pediatric Medicine | 9931501699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94674 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
| R-11149 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Pediatrics | Current |
Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
940 Holly St
Orangeburg, SC 29115
Phone (803) 536-2725
Interoperability endpoints
- jmuraida542365@direct.musc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R-11149 | IA | Yes |
Addresses
Primary practice location
11 Charlie Morris Rd
Colbert, GA 30628-2445
Mailing address
PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234
Other providers in Colbert, GA
- Medlink Georgia Inc
- Medlink Georgia Inc
- Medlink Georgia Inc
- Medlink Georgia Inc
- Bridgett Muckle
- Cassie Myers
- Isabelle Nicole Orlino
- Jonathan Marc Perry
- Reno James Roberts
- Michael Brian Rountree
All providers in Colbert, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.