Jerry L. Stennet, M.D. PA D/B/a Columbus Surgery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

07718 Issued in MS

Legal business name

JERRY L. STENNET, M.D. PA D/B/A COLUMBUS SURGERY

Practice address

255 Baptist Blvd
Suite 307
Columbus, MS 39705-2011

Phone

(662) 328-1862

Fax

(662) 328-7597

NPI assigned

Jan 10, 2008

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry L Stennett, M.D.NPI 1467479485

Title

Physician

Phone

(662) 328-1862

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry L Stennett, M.D.

  • Surgery Physician
  • Columbus, MS
  • NPI 1467479485
  Authorized official Same address or phone

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1275719114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397031019",
            "telephone_number": "662-328-1862",
            "fax_number": "662-328-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD",
            "address_2": "SUITE 307",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052011",
            "telephone_number": "662-328-1862",
            "fax_number": "662-328-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L. STENNET, M.D. PA D/B/A COLUMBUS SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "STENNETT",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-328-1862",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "07718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zandalynn Moesha Jenkins
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• John Russell, III, D.M.D., PA
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• April Johnson
• Brandon Johnson, ATC

• Surgery Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.