Individual provider Active NPI

Jerald Noel Kramer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Decatur, GA
National Provider Identifier
1902886799
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0000410 Issued in GA
Practice address
215 Clairemont Ave
Decatur, GA 30030-2505
Phone
(404) 373-2529
Fax
(404) 373-1655
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0000410 GA Primary

Addresses

Primary practice location

215 Clairemont Ave
Decatur, GA 30030-2505

Mailing address

215 Clairemont Ave
Decatur, GA 30030-2505
Phone (404) 373-2529

Other identifiers 3

IdentifierTypeStateIssuer
00006223DMedicaidGA
00006223CMedicaidGA
1881879559OtherGAPODIATRIC SURGICENTER

Other names 1

  • Dr. Jerald Noel Kramer Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
410GAMDAcupuncturist
0000410GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerald N Kramer DPM PC Foot & Ankle Surgery CurrentSince Jul 1, 1966 Accepting new patients

Locations

215 Clairemont Ave
Ste A
Decatur, GA 30030

215 Clairemont Ave
Decatur, GA 30030
Phone (404) 373-2529

1521 W McIntosh Rd
Griffin, GA 30223
Phone (404) 524-0095

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1902886799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302505",
            "telephone_number": "404-373-2529",
            "fax_number": "404-373-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302505",
            "telephone_number": "404-373-2529",
            "fax_number": "404-373-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JERALD",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "0000410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00006223D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00006223C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC SURGICENTER",
            "identifier": "1881879559",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERALD",
            "last_name": "KRAMER",
            "middle_name": "NOEL",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.