Edward W Jernigan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4913 Issued in NC

Practice address

1427 N Wesleyan Blvd
Rocky Mount, NC 27804-1843

Phone

(252) 977-7197

Fax

(252) 977-7403

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Jernigan and Associates, P.a.

  • General Practice Dentistry
  • Rocky Mount, NC
  • NPI 1831174028

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174550339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 N WESLEYAN BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041843",
            "telephone_number": "252-977-7197",
            "fax_number": "252-977-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 N WESLEYAN BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041843",
            "telephone_number": "252-977-7197",
            "fax_number": "252-977-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "EDWARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994578",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edgar Jenkins, CRNA
• Jennifer Tedder, DDS, PA
• Charles Shingirai Jere, MD
• Grace Mayamiko Jere, MD
• George Marshall Jerman Jr., SLP
• John C Jernigan, DDS
• Nesheka N Jessup, PHARMD
• JFC Meridian Opco-Rocky Mount
• Bo Jiang, M.D.
• Laura Leeanne Jimison, LMBT/LMT

• All providers in Rocky Mount, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.