Jerry Ethridge

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN188111 Issued in GA

Practice address

820 Ashley Laine Walk
Lawrenceville, GA 30043-4286

Phone

(229) 392-3459

NPI assigned

Jan 14, 2026

Last updated

Jan 14, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aachele DME, LLC

  • Durable Medical Equipment & Medical Supplies
  • Stone Mountain, GA
  • NPI 1841098324
  NPD
• Aachele Home Care and Hospice LLC

  • Nursing Care Agency
  • Snellville, GA
  • NPI 1083118152
  NPD
• Gatewood Clinic and Medspa LLC

  • Clinical Genetics (M.D.) Physician
  • Stone Mountain, GA
  • NPI 1871398842
  NPD

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1851259105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ASHLEY LAINE WALK",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434286",
            "telephone_number": "229-392-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ASHLEY LAINE WALK",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434286",
            "telephone_number": "229-392-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "JERRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN188111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Esteves, MD
• Laura Estrada, PTA
• Rossines Estrella Carrasco
• Tamera Etchison
• Etf Care LLC
• Benedict Etumnu
• Jessica Etzkorn, FNP-C
• Patricia J Eubank, PA
• Haley Marie Eubanks
• Eugene Medical Clinic

• Registered Nurse in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.