Provider Demographics
NPI:1083615215
Name:CHERNER, JAY ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:ARTHUR
Last Name:CHERNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3330 PRESTON RIDGE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4508
Mailing Address - Country:US
Mailing Address - Phone:770-410-1600
Mailing Address - Fax:770-410-0006
Practice Address - Street 1:3330 PRESTON RIDGE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4508
Practice Address - Country:US
Practice Address - Phone:770-410-1600
Practice Address - Fax:770-410-0006
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA23144207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10BBBMTOtherMEDICARE PTAN (INDIVIDUAL)
GA00463009EMedicaid
GAGRP 3931OtherMEDICARE PTAN (GROUP)
GA00463009BMedicaid
GAA53443Medicare UPIN