JAYNE LYN O'GORMAN PA-C
NPI 1851400428
Student in an Organized Health Care Education/Training Program in Oak Ridge, TN

Q: What is Jayne O'gorman's NPI number?

The NPI number for Jayne O'gorman is 1851400428. It was assigned to this individual provider in the NPPES registry on August 29, 2006. The provider is also known as Jayne Johnson MD, Pa-C.

Q: What is Jayne O'gorman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jayne O'gorman was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2006PECOS Enrolled

200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830(865) 835-5855 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jayne Lyn O'gorman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYNE LYN O'GORMAN PA-C (NPI 1851400428) is an individual student in an organized health care education/training program in Oak Ridge, Tennessee and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1851400428

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJAYNE LYN O'GORMANCredential: PA-C

Location Address200 NEW YORK AVE STE 150Oak Ridge, TN 37830-5227

Mailing Address200 New York Ave Ste 150Oak Ridge, TN 37830-5227 · (865) 835-5855

Phone(865) 835-5855

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateMarch 28, 2025

NPPES CertifiedMarch 28, 2025

✔ NPI 1851400428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 007576-1 (NY)

200 NEW YORK AVE STE 150, Oak Ridge, TN 37830

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Other Names 1

Former Name (1)Jayne Johnson Md, Pa-c

Secondary Practice Location 1

Location 1170 E 77th StNew York, NY 10075-1912 · Phone (646) 687-7600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayne Lyn O'gorman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

AREZOU T REZAEIAN MD

Student in an Organized Health Care Education/Training Program