Provider Demographics
NPI:1770542094
Name:HOCHMAN, JAY ALAN (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:ALAN
Last Name:HOCHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:993-D JOHNSON FERRY RD
Mailing Address - Street 2:STE 440
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-257-0799
Mailing Address - Fax:404-503-2280
Practice Address - Street 1:993-D JOHNSON FERRY RD
Practice Address - Street 2:STE 440
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1620
Practice Address - Country:US
Practice Address - Phone:404-257-0799
Practice Address - Fax:404-503-2280
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0439592080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5777647OtherAETNA MC PPO PIN
52684939006OtherBLUE CHOICE PROVIDERS IDS
6163947003OtherCIGNA
849395OtherBLUE CHOICE FAC INSURANCE
REF000095774OtherMEDICAID REFERENCE PROVID
1726205OtherUNITED HEALTH CARE
GA000754179EMedicaid
2141208OtherAETNA HMO POS