Active NPI
Jennifer Marshall Jaikaran, O.D.
- Optometrist
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 002111
- Practice address
- 3975 Old Milton Pkwy
Alpharetta, GA 30005-4467 - Phone
- (678) 624-7766
- Fax
- (678) 624-7775
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4030 | FL | |
| Optometrist | 152W00000X | OPT 002111 | GA | Primary |
Addresses
Primary practice location
3975 Old Milton Pkwy
Alpharetta, GA 30005-4467
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other practice location 1
3975 Old Milton Pkwy
Alpharetta, GA 30005-4467
Phone (678) 624-7766
Other practice location 2
6750 Jamestown Drive
Alpharetta, GA 30005
Phone (678) 691-0073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304425559A | Medicaid | GA |
Other names 1
- Dr. Jennifer Karen Marshall
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3975 Old Milton Pkwy
Suite 2
Alpharetta, GA 30005-4467
Phone (678) 624-7766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4030 | FL | MD | Optometrist |
| OPT 002111 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations
3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
5940 Roswell Rd
Sandy Springs, GA 30328
Phone (404) 843-2020
1000 Peachtree Industrial Blvd
Ste 14
Suwanee, GA 30024
Phone (770) 271-0611
1000 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 271-0611
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 5
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.
-
- Optometrist
- Rincon, GA
- NPI 1437294592
-
- Optometrist
- Tyrone, GA
- NPI 1275326571
-
- Optometrist
- McDonough, GA
- NPI 1790288850
-
- Optometrist
- Woodstock, GA
- NPI 1144684184
-
- Optometrist
- Martinez, GA
- NPI 1689657322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1922043496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054467",
"telephone_number": "678-624-7766",
"fax_number": "678-624-7775"
}
],
"practiceLocations": [
{
"address_1": "3975 Old Milton Pkwy",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054467",
"country_code": "US",
"telephone_number": "678-624-7766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6750 Jamestown Drive",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "30005",
"country_code": "US",
"telephone_number": "678-691-0073",
"fax_number": "888-707-4495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIKARAN",
"first_name": "JENNIFER",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4030",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT 002111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304425559A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MARSHALL",
"middle_name": "KAREN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.