Look up the most recent NPI and PECOS records

Vinod Jeyaretnam

Internal Medicine

Allopathic & Osteopathic Physicians

1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165

PECOS Enrollment

Based on the most recent information from CMS, provider Vinod Jeyaretnam is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609526862
Provider Type
Individual
Full Name
Jeyaretnam, Vinod
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2022
Last Updated
6/13/2025

Contact Information

Practice Location

1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165

(706) 389-3875

(706) 389-3876

Mailing Location

PO Box 48089, Athens, GA 30604-8089

(706) 389-3740

(706) 389-3951

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 103627 Georgia

Vinod Jeyaretnam

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ruiz Vega, Joshuam A

Johnson, Elizabeth L

Jarrard, Mary Bess

Meyer, Robert J

St. Mary'S Medical Group, Inc.

Brooks, Albert Patrick

Zakaria, Tariq Wael

Kesiena, Onoriode

Shah, Krishna V

Morel, Laurent Marcel