Individual provider Active NPI

Gerald Richard McLemore Jr., M.D.

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1063709657
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23015 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(662) 984-5582
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T-2464 MS
Emergency Medicine Physician 207P00000X 23015 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (662) 984-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140627002138 MS Practitioner - Emergency Medicine 7618192980 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

161 River Oaks Dr
Canton, MS 39046-5375
Phone (601) 855-4000

Hospital & facility affiliations

  • Merit Health Madison Hospital, Canton, MS, CCN 250038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23015MSMDEmergency Medicine Physician
T-2464MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Jun 4, 2014 Accepting new patients
Magnolia Ear Nose & Throat Current Accepting new patients
Magnolia Physician Services, Inc CurrentSince Aug 10, 2015 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Aug 16, 2023 Accepting new patients

Locations

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • Direct secure messaging: gmclemore7658@ummc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1063709657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "662-984-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "662-984-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "GERALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-2464",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "23015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.