Active NPI
Justin-Barry J Jerome, M.D.
- Hospitalist Physician
- Americus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 056727
- Practice address
- 1048 E Forsyth St
Americus, GA 31709-3722 - Phone
- (229) 931-7138
- NPI assigned
- Oct 27, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 056727 | GA | |
| Hospitalist Physician | 208M00000X | 056727 | GA | Primary |
Addresses
Primary practice location
1048 E Forsyth St
Americus, GA 31709-3722
Mailing address
1048 E Forsyth St
Americus, GA 31709-3722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56727 | Other | GA | GEORGIA LICENCE NUMBER |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005000333 | GA | Practitioner - Internal Medicine | 0749215044 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Professional Services LLC
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Hospitalist | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Phoebe Dorminy Kids Health | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Wellstar Physicians Group Hospitalists, LLC | Internal Medicine | Past | Accepting new patients |
| Wellstar Physicians Group Douglas Hospitalists, LLC | Internal Medicine | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1048 E Forsyth St
Americus, GA 31709
Phone (229) 924-6011
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2675 N Decatur Rd
Ste 408
Decatur, GA 30033
Phone (404) 501-7100
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
677 Church St NE
#111
Marietta, GA 30060
Phone (770) 793-7750
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
GA, Internal Medicine
-
- Clinic/Center
- Fitzgerald, GA
- NPI 1144501867
-
- Internal Medicine Physician
- Douglasville, GA
- NPI 1376590463
Internal Medicine
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1629025754
Internal Medicine
Hospital & facility affiliations 1
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": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1891785077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 E FORSYTH ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 E FORSYTH ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093722",
"telephone_number": "229-931-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEROME",
"first_name": "JUSTIN-BARRY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "056727",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "056727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENCE NUMBER",
"identifier": "56727",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.