DR. JULIAN M EARLS JR. (NPI# 1033196761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033196761 |
| Entity Type | Individual |
| Full Name | DR. JULIAN M EARLS JR. |
| Credential | M.D. |
| Practice Address |
3356 Vineville Ave Macon GA 31204-2328 |
| Practice Telephone | 4784769886 |
| Practice Fax Number | 4784769976 |
| Mailing Telephone | 4784769886 |
| Mailing Fax Number | 4784769976 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2010-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
040369 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00685363D | 05 |
| Street Address |
3356 VINEVILLE AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392068 | Carlos Jorge Giron | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-07 |
| 1164995171 | Meredith Fleenor | Nurse Practitioner | 3356 Vineville Ave, Macon, GA 31204-2328 | 2019-01-03 |
| 1588147060 | Spine Center Macon, LLC | Physical Medicine & Rehabilitation | 3356 Vineville Ave, Macon, GA 31204-2328 | 2018-09-11 |
| 1235385931 | Pharmalab,llc | Specialist | 3356 Vineville Ave, Macon, GA 31204-2328 | 2008-08-13 |
| 1861671935 | Andrada Physical Therapy, Inc | Clinic/Center | 3356 Vineville Ave, Ste C, Macon, GA 31204-2328 | 2007-10-25 |
| 1447388574 | Macon Pain Center, P.C. | Clinic/Center | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1265560379 | Georgia Pain Institute. LLC | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1306823034 | Grace Duque-dizon | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 1699756361 | Preston Chandler Delaperriere | Anesthesiology | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013122118 | Medhealth Services, LLC | Psychiatry & Neurology | 4780 Ashford Dunwoody Rd Ste A418, Atlanta, GA 30338-5504 | 2007-05-11 |
| 1538177290 | Rivercity Rehabilitation and Spine Specialists, P.C. | Psychiatry & Neurology | 2300 13th St, Suite A, Columbus, GA 31906-2596 | 2006-08-04 |
| 1053745968 | Tattnall Hospital Company, LLC | Psychiatry & Neurology | 1702 Meadows Ln Ste A, Vidalia, GA 30474-7220 | 2013-08-27 |
| 1538495999 | Neurological Institute of Atlanta | Psychiatry & Neurology | 1111 Glynco Pkwy, Ste 400, Brunswick, GA 31525-7921 | 2009-10-20 |
| 1720293111 | Child Psychiatric and Drug Abuse Associates | Psychiatry & Neurology | 627 Old Ivy Rd Ne, Atlanta, GA 30342-4319 | 2007-05-11 |
| 1841371499 | Gary N Dawson | Psychiatry & Neurology | 2300 13th St, Suite A, Columbus, GA 31906-2596 | 2006-10-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.