Hariyebbe C Jayaraj, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

020746 Issued in GA

Practice address

1205 Russell Pkwy
Warner Robins, GA 31088-5538

Phone

(478) 929-4432

Fax

(478) 922-7109

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1790720852",
    "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": {
        "last_name": "JAYARAJ",
        "first_name": "HARIYEBBE",
        "middle_name": "C",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "020746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790720852",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00188097A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Andyn Jangha, MD
• Marlanea Jarrell, NP
• Alan Lawrence Russell Jasper, D.O. MBA
• Marlyn Jasper, PT
• Angela Jaudon-Hall, SERVICE COORDINATOR
• Makalob Jaynes
• Jeffrey Rymuza, MD PC
• Jermaine Jeffries
• Jennifer Bell Jenkins, LPC
• Kimberly Ann Jenkins, APRN

• Internal Medicine Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.