Justine Greathouse Jerrett, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

3801 Lake Boone TRL
Suite 320
Raleigh, NC 27607-2934

Phone

(919) 784-9182

Fax

(919) 256-0730

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376622357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 QUIET RIDGE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147257",
            "telephone_number": "919-844-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAKE BOONE TRL",
            "address_2": "SUITE 320",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072934",
            "telephone_number": "919-784-9182",
            "fax_number": "919-256-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRETT",
        "first_name": "JUSTINE",
        "middle_name": "GREATHOUSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Pownall Jernigan, FNP-C
• Melissa Capps Jernigan, BSN, RN, CDE
• Emily Jerome, MED, LCMHCA
• Rose S Jerome, LCMHC
• Samantha Joy Jerome
• Jerry S. Alvis, D.D.S., P.a.
• Jessica D Kasinoff PLLC
• Jessica E. Shireman DMD, PA
• Jessica G. McConnell, DDS, PLLC
• Jessica Melford

• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.