Active NPI
Gerald Richard McLemore Jr., M.D.
- Emergency Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23015
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23015 | MS | MD | Emergency Medicine Physician |
| T-2464 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| Magnolia Ear Nose & Throat | Current | Accepting new patients | |
| Magnolia Physician Services, Inc | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Jackson HB Medical Services LLC | Emergency Medicine | Current | 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
- 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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1184305856
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Internal Medicine Physician
- Corinth, MS
- NPI 1073827549
-
- Otolaryngology Physician
- Corinth, MS
- NPI 1881132124
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.