Organization Active NPI

Jerry H. Langford

  • Foot & Ankle Surgery Podiatrist
  • Collierville, TN
National Provider Identifier
1457757320
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
164 Issued in TN
Legal business name
JERRY H. LANGFORD
Practice address
1100 Halle Park Cir
Suite101
Collierville, TN 38017-7178
Phone
(901) 853-1574
Fax
(901) 861-0839
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Carol Langford
Title
Office Manager
Phone
(901) 853-1574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 164 TN Primary

Addresses

Primary practice location

1100 Halle Park Cir
Suite101
Collierville, TN 38017-7178

Mailing address

1100 Halle Park Cir
Suite101
Collierville, TN 38017-7178
Phone (901) 853-1574

National Provider Directory

National Provider Directory

Locations

1100 Halle Park Cir
Ste 101
Collierville, TN 38017
Phone (901) 651-2910

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1457757320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HALLE PARK CIR",
            "address_2": "SUITE101",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177178",
            "telephone_number": "901-853-1574",
            "fax_number": "901-861-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HALLE PARK CIR",
            "address_2": "SUITE101",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177178",
            "telephone_number": "901-853-1574",
            "fax_number": "901-861-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY H. LANGFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-853-1574"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.