Jerri K Aultman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD001366 Issued in GA

Practice address

1007 Greenfield Dr
Tifton, GA 31794-3795

Phone

(229) 382-9733

NPI assigned

Dec 29, 2010

Sex

Female

Sole proprietor

No

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.

• Tift Regional Health System Inc

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1881203305

  GA

  Medicare reassignment Care Compare group NPD
• Tift Regional Health System Inc

  • Rural Health Clinic/Center
  • Ashburn, GA
  • NPI 1063042562
  Care Compare group
• Tift Regional Health System Inc

  • Skilled Nursing Facility
  • Adel, GA
  • NPI 1134215452
  Care Compare group
• Tift Regional Health System Inc.

  • Rural Health Clinic/Center
  • Sylvester, GA
  • NPI 1487284956
  Care Compare group
• Tift Regional Health System Inc.

  • Rural Health Clinic/Center
  • Nashville, GA
  • NPI 1588294045
  Care Compare group
• Tift Regional Health System Inc.

  • Rural Health Clinic/Center
  • Tifton, GA
  • NPI 1649800111
  Care Compare group
• Tift Regional Health System Inc.

  • Pharmacy
  • Tifton, GA
  • NPI 1962085282
  Care Compare group
• Tift Regional Health System Inc.

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  Care Compare group
• Tift Regional Health System, Inc.

  • Psychiatric Hospital Unit
  • Adel, GA
  • NPI 1043514417
  Care Compare group
• Tift Regional Health System, Inc.

  • General Acute Care Hospital
  • Adel, GA
  • NPI 1568410264
  Care Compare group
• Tift Regional Health System, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tifton, GA
  • NPI 1831298660
  Care Compare group
• Tift Regional Health System, Inc.

  • Rural Health Clinic/Center
  • Adel, GA
  • NPI 1871816918
  Care Compare group

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tift Regional Health System Inc 294 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2022.

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1982908281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GREENFIELD DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943795",
            "telephone_number": "229-382-9733",
            "fax_number": "229-387-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GREENFIELD DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943795",
            "telephone_number": "229-382-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 18th St E",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943648",
            "country_code": "US",
            "telephone_number": "229-353-3347",
            "fax_number": "229-353-7722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2922 N Oak St Ste C",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316021885",
            "country_code": "US",
            "telephone_number": "229-382-9733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AULTMAN",
        "first_name": "JERRI",
        "middle_name": "K",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LD001366",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "834511",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Michael Arthur, PA-C
• Bridgett Lowe Asbury, M.D.
• Luanne Ashton, FNP
• At Home Medical Equipment
• David Ryan Atkins, APRN-BC
• Molly Bailey
• Anna Makenzie Baker, O.D.
• Logan Balkcom
• David M Banks, M.D.
• Amber Barker

• All providers in Tifton, GA
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.