George Perry Jernigan II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4362 Issued in NC

Practice address

320 Parkwood Medical PK
Elkin, NC 28621

Phone

(333) 835-7113

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• G Perry Jernigan II

  • Dentist
  • Elkin, NC
  • NPI 1285808980
  NPD (past) Authorized official
• Modlin & Londry VIII DDS PLLC

  • General Practice Dentistry
  • Elkin, NC
  • NPI 1659034411
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1194733097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARKWOOD MEDICAL PK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "28621",
            "telephone_number": "336-835-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARKWOOD MEDICAL PK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "28621",
            "telephone_number": "333-835-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "GEORGE",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7994562",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Isenhoward, LCMHC, NCC
• Philip James Iuliano, M.D.
• Ann Patricia Jackson, LPC, NCC
• William Prescott Jarrett, PA-C
• Megan Jaynes, CNM
• Jim a. Harrell, Jr., D.D.S., PA
• Brooke Patterson Johnson, CCC-SLP
• Tonya Caudill Johnson, FNP-BC
• Rachel Eidson Jones, FNP
• Monica L Keener, FNP

• Dentist in Elkin, NC
• Providers in Elkin, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.