Pediatric Urology Associates of the Mid-South, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD0000008476 Issued in TN

Legal business name

PEDIATRIC UROLOGY ASSOCIATES OF THE MID-SOUTH, P.C.

Practice address

1920 Kirby Pkwy
Suite 100
Germantown, TN 38138-3696

Phone

(901) 751-0500

Fax

(901) 751-0551

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gerald R Jerkins, M.D.

Title

Pediatric Urologist

Phone

(901) 751-0500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1326218868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 KIRBY PKWY",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383696",
            "telephone_number": "901-751-0500",
            "fax_number": "901-751-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 KIRBY PKWY",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383696",
            "telephone_number": "901-751-0500",
            "fax_number": "901-751-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC UROLOGY ASSOCIATES OF THE MID-SOUTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRIC UROLOGIST",
        "authorized_official_telephone_number": "901-751-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD0000008476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3378412",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peak Potential Physiotherapy and Wellness
• Amanda Davidson Pearson, AUD
• Richard McQuiston Pearson, M.D.
• Pediatric Neurology
• Pediatric Rehab Services, PC
• Phillip A Pedigo, M.D.
• Frederick R Pelz, MD
• Joel Evan Perchik, M.D.
• David Perkins, CRNA
• Heather Perkins

• Medical Specialty Clinic/Center in Germantown, TN
• Providers in Germantown, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.