Provider Demographics
NPI:1487388989
Name:STROZIER, JASMINE J (DPM)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:J
Last Name:STROZIER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THOMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30824-2662
Mailing Address - Country:US
Mailing Address - Phone:762-994-0904
Mailing Address - Fax:762-994-0906
Practice Address - Street 1:150 MAIN ST
Practice Address - Street 2:
Practice Address - City:THOMSON
Practice Address - State:GA
Practice Address - Zip Code:30824-2662
Practice Address - Country:US
Practice Address - Phone:762-994-0904
Practice Address - Fax:762-994-0906
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD305037213EP1101X, 213ES0000X, 213E00000X, 213ES0131X, 213ES0103X
SC785213EP1101X, 213ES0103X, 213ES0000X, 213E00000X, 213ES0131X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003325107AMedicaid
GA5249886OtherCARESOURCE
GAQ01094978OtherRAILROAD MEDICARE
GA9656793003OtherUNITED HEALTH CARE