G Perry Jernigan II

Primary specialty

DentistTaxonomy code 122300000X

License

4362 Issued in NC

Legal business name

G PERRY JERNIGAN II

Practice address

320 Parkwood Medical PK
Elkin, NC 28621

Phone

(336) 835-7113

Fax

(336) 835-4657

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By 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

Dr. George Perry Jernigan II, DDSNPI 1194733097

Title

Dentist

Phone

(336) 835-7113

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.

• George Perry Jernigan II, DDS

  • Dentist
  • Elkin, NC
  • NPI 1194733097
  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1285808980",
    "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",
            "fax_number": "336-835-4657"
        },
        {
            "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": "336-835-7113",
            "fax_number": "336-835-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G PERRY JERNIGAN II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-835-7113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Fleury
• Foothills Nephrology and Hypertension Center
• Forsyth Memorial Hospital, Inc (Piedmont Hematology Oncology Associates)
• James France, MD
• Amy Rachelle Franklin, AMY FRANKLIN, PA-C
• Anthony Curtis Gaither, PT, DPT
• Kenneth Raynor Gallup Jr., MD
• Cassandra Mae Gardner, FNP-C
• Jamette R Garrett, DO
• Paul Leslie Garrison Jr., MD

• 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 Apr 15, 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.