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NPI 1417120809
● Active Type 2 · Organization
G. Jeryl Everidge, M.d.,p.c.
Specialist · Columbus, GA · NPI 1417120809
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Enumerated 2008 · 18 years on NPI
G. Jeryl Everidge, M.d.,p.c. is 1 of 1881 specialist organizations in Georgia.
NPI age
18 years
Enumerated 2008-04-08
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Everidge
Physician
Last NPPES update
2008-04-08
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2008 → 2026
2008-04 Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2022 10th Ave, Suite A
Columbus, GA 319013724
📞 7063240081 fax 7063241965
Mailing address
2022 10th Ave, Suite A
Columbus, GA 319013724
📞 7063240081 fax 7063241965
Authorized official
George Jeryl Everidge, M.D.
Physician
📞 7063240081
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Specialist
Primary
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
GA license #14906 taxonomy 174400000X
Identifiers
Type Value Notes
05 (GA)
00151841A
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.