G. Jeryl Everidge, M.D.,P.C.

LBN: G. Jeryl Everidge, M.D.,P.C.
G. Jeryl Everidge, M.D.,P.C. is an health care organization with primary practice located at 2022 10Th Ave Suite A, Columbus GA 31901-3724. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. G. Jeryl Everidge, M.D.,P.C. can be contacted via phone (706) 324-0081, or through Everidge, George Jeryl via phone (706) 324-0081.

Contact Information

Primary practice address
2022 10Th Ave Suite A Columbus GA 31901-3724
Phone: (706) 324-0081
Fax: (706) 324-1965
Website:
Map and Directions
Authorized official contact:
Name: Everidge, George Jeryl Doctor of Medicine (MD)
Phone: (706) 324-0081

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14906 Georgia

Profile Details

NPI number 1417120809
LBN Legal business name G. Jeryl Everidge, M.D.,P.C.
DBA Doing business as
Authorized official Everidge, George Jeryl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417120809 NPPES
Georgia MEDICAID 00151841A

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