Jennifer E. Mersereau, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

2007-00448 Issued in NC

Practice address

300 Keisler Dr Ste 102
Cary, NC 27518-7083

Phone

(984) 464-2244

Fax

(984) 464-3160

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Jennifer E. Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• SGF North Carolina, PLLC

  • Reproductive Endocrinology Physician
  • Cary, NC
  • NPI 1508593039
  NPD (past)
• Unc Fertility, LLC

  • Reproductive Endocrinology Physician
  • Raleigh, NC
  • NPI 1952658007
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1316980915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KEISLER DR STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187083",
            "telephone_number": "984-464-2244",
            "fax_number": "984-464-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KEISLER DR STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187083",
            "telephone_number": "984-464-2244",
            "fax_number": "984-464-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSEREAU",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-107405",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A85943",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "2007-00448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A859430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACKSON",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Merchant, OTR/L MOT
• Frances T Meredith, M.D.
• Stephanie Mergendahl, RBT
• Brianna Merlin
• Mark Austin Merritt, CRNP
• Dustin Cody Merva, NP-C
• Aurianna Mervin
• Daniel Scott Merwin, MA, LPC
• Lisa Ellen Mesecar, OTR/L
• Ashlyn Messer

• Reproductive Endocrinology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Reproductive Endocrinology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.