Active NPI
Jerlyn Rozier-Rayam
- Podiatrist
- Sugar Hill, GA
National Provider Identifier
1790945939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 682
- Practice address
- 5885 Cumming Hwy
Ste 108-184
Sugar Hill, GA 30518-5765 - Phone
- (770) 444-1241
- Fax
- (800) 899-6826
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 682 | GA | Primary |
Addresses
Primary practice location
5885 Cumming Hwy
Ste 108-184
Sugar Hill, GA 30518-5765
Mailing address
565 Running Fawn Dr
Suwanee, GA 30024-4101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 682 | GA | MD | Podiatrist |
| 000682 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1790945939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 RUNNING FAWN DR",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 CUMMING HWY",
"address_2": "STE 108-184",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305185765",
"telephone_number": "770-444-1241",
"fax_number": "800-899-6826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZIER-RAYAM",
"first_name": "JERLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.