Individual provider Active NPI

Jonathan J. Pearlstein, M.D.

  • Neurology Physician
  • Jasper, GA
National Provider Identifier
1871563403
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
045910 Issued in GA
Practice address
3850 Camp Rd
Suite C
Jasper, GA 30143-8667
Phone
(706) 253-1401
Fax
(706) 253-1405
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 045910 GA Primary
Clinical Neurophysiology Physician 2084N0600X 045910 GA

Addresses

Primary practice location

3850 Camp Rd
Suite C
Jasper, GA 30143-8667

Mailing address

3850 Camp Rd
Jasper, GA 30143-8667
Phone (706) 253-1401

Other identifiers 1

IdentifierTypeStateIssuer
00804955CMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000531 GA Practitioner - Neurology 7810955325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3850 Camp Rd
Jasper, GA 30143-8667
Phone (706) 253-1401

Hospital & facility affiliations

  • Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Union General Hospital Hospital, Blairsville, GA, CCN 110051
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
91.09
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045910GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Neurological Associates, P.C. Neurology CurrentSince Mar 5, 2009 Accepting new patients
Georgia Pain Management Past Accepting new patients
Neurology Associates of Norwalk, P.C. Neurology PastSince Mar 16, 2021 Accepting new patients

Locations

3850 Camp Rd
Ste C
Jasper, GA 30143
Phone (706) 253-1401

3850 Camp Rd
Jasper, GA 30143
Phone (706) 253-1401

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1871563403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 CAMP RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438667",
            "telephone_number": "706-253-1401",
            "fax_number": "706-253-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 CAMP RD",
            "address_2": "SUITE C",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438667",
            "telephone_number": "706-253-1401",
            "fax_number": "706-253-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLSTEIN",
        "first_name": "JONATHAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "045910",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "045910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804955C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.