Gary W Jerkins, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0000011050 Issued in TN

Practice address

4306 Harding Pike
Suite 202
Nashville, TN 37205-2205

Phone

(615) 297-6591

Fax

(615) 297-6584

NPI assigned

Aug 12, 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 TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nashville Vision Associates, PLC

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1548239437
  Medicare reassignment NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184636029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 HARDING ROAD",
            "address_2": "SUITE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052205",
            "telephone_number": "615-297-6591",
            "fax_number": "615-297-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 HARDING PIKE",
            "address_2": "SUITE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052205",
            "telephone_number": "615-297-6591",
            "fax_number": "615-297-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERKINS",
        "first_name": "GARY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000011050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3179871",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lana Jeradeh Boursoulian, M.D.
• Alexa Jerde
• Jere C. Manning D.D.S.
• Jeremy D. Elliott D.M.D.
• Shirley C Jergenson, PT
• James Hamilton Jerkins, MD
• Randy Kenneth Jerkins, PHARM.D.
• Terri Wood Jerkins, M.D.
• Nathan S Jernigan, M.A.
• Sophie Jernigan, AGPCNP

• Ophthalmology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Ophthalmology Physician in Tennessee

• 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.