JERAMY MAHONEY DNP
NPI 1457788572
Nurse Practitioner - Primary Care in Fort Benning, GA
About Jeramy Mahoney Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERAMY MAHONEY DNP (NPI 1457788572) is an individual primary care provider in Fort Benning, Georgia, licensed in Utah (7165938-4405) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeramy Mahoney Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MOORE, GA 31905
FORT BENNING, GA 31905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeramy Mahoney's NPI number?
The NPI number for Jeramy Mahoney is 1457788572. It was assigned to this individual provider in the NPPES registry on October 3, 2013.
Where is Jeramy Mahoney located?
Jeramy Mahoney practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (706) 544-5913.
What is Jeramy Mahoney's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jeramy Mahoney enrolled in Medicare?
Yes. Jeramy Mahoney is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jeramy Mahoney was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeramy Mahoney, DNP · NPI 1457788572
Primary Care physician in Fort Benning, Georgia. Individual provider, active in the CMS NPPES registry since October 3, 2013.
## Identity
- **NPI:** 1457788572 (Entity type: Individual)
- **Enumerated:** October 3, 2013
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 7165938-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6600 VAN AALST BLVD, Fort Benning, GA 31905-2102
- **Phone:** (706) 544-5913
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457788572) · Data from the CMS NPPES public registry.