Active NPI
Gerald T. Tarirah, M.D
- Pulmonary Disease Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 065904
- Practice address
- 770 Pine Street
Suite 560
Macon, GA 31201 - Phone
- (478) 745-9998
- Fax
- (478) 745-9981
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 19405 | MS | |
| Pulmonary Disease Physician | 207RP1001X | 065904 | GA | Primary |
Addresses
Primary practice location
770 Pine Street
Suite 560
Macon, GA 31201
Mailing address
770 Pine Street
Suite 560
Macon, GA 31201
Phone (478) 745-9998
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003110501C | Medicaid | GA | |
| 02404007 | Medicaid | MS | |
| 003110501F | Medicaid | GA | |
| P01686239 | Other | GA | RAILROAD MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
754 1St St
Suite 205
Macon, GA 31201-8334
Phone (478) 725-9998
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065904 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synsormed, Inc | Current | Accepting new patients | |
| Sound Physicians Intensivists of Georgia PC | Pulmonary Disease | Current | Accepting new patients |
| Southern Lung Specialists PC | Pulmonary Disease | Current | Accepting new patients |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Albany County, PLLC | Past | Accepting new patients | |
| The Nexus Medical Group, LLC | Past | Accepting new patients |
Locations
770 Pine St
Ste 560
Macon, GA 31201
Phone (478) 741-5155
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
754 1st St
Ste 205
Macon, GA 31201
Phone (404) 596-8683
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
Interoperability endpoints
- gtarirah433734@carolinashealthcaresystem.direct-ci.com
- https://fhir4.healow.com/fhir/r4/JDIGAD/Endpoint/JDIGAD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Macon, GA
- NPI 1376159590
Pulmonary Disease
-
- Pulmonary Disease Physician
- Macon, GA
- NPI 1821440819
-
- Research Clinic/Center
- Macon, GA
- NPI 1659264638
-
- Pulmonary Disease Physician
- Macon, GA
- NPI 1669521902
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Anesthesiology Physician
- Macon, GA
- NPI 1801822515
-
- Internal Medicine Physician
- Albany, NY
- NPI 1578502498
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1851313431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 PINE STREET",
"address_2": "SUITE 560",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-745-9998",
"fax_number": "478-745-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PINE STREET",
"address_2": "SUITE 560",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-745-9998",
"fax_number": "478-745-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARIRAH",
"first_name": "GERALD",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MS",
"license": "19405",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "065904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003110501C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02404007",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003110501F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01686239",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.