Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023807914 Individual Practitioner Male Practitioner

Jerel E Merida

Physician Assistant • Moody Afb, GA

Professional Overview & Biography Verified Profile Summary

Jerel Merida is a registered healthcare professional specializing in Physician Assistant in Moody Afb, GA. Practice services are available at 3278 MITCHELL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3278 Mitchell Blvd

Moody Afb, GA 316991500

Telephone 2292572778
Associated Practice Facility / Clinic
🏢 23d Medgrp-Moody Facility NPI 1316907744

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Moody Afb, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Moody Afb, GA (4726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003266073

Doctor of Osteopathic Medicine (D.O.)

Dr. Konstantine Dietrich , DDS

Dentist - General Practice

NPI 1023479888

Doctor of Dental Surgery

NPI 1023678406

Doctor of Osteopathic Medicine (D.O.)

Dr. Samuel Oldham , PsyD

Psychologist - Clinical

NPI 1043517089

Doctor of Psychology (Psy.D.)

Austin Geer , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1063256832
Cindy Rullo

Physician Assistant

NPI 1083315436

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 21, 2026

Registered at 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292572778)

📍
Updated Business Mailing Address July 21, 2026

Registered at 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292572778)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2026

Physician Assistant

NPI Profile Active May 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2025

Registered at 301 FISHER ST, KEESLER AFB, MS 395342508 (Tel: 2283763800)

📍
Updated Business Mailing Address May 06, 2025

Registered at 871 WINN RD, JACKSON, AL 365455507

👤
Provider Name / Credentials Updated May 06, 2025

Recorded as JEREL MERIDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023807914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2025
Last Update: July 21, 2026
Sole Proprietor: No

Mailing Address

3278 Mitchell Blvd

Moody Afb, GA 316991500

Phone: 2292572778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.