Jerry B Jennings, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D4169 Issued in TX

Practice address

115 Airport Rd
Sulphur Springs, TX 75482-2105

Phone

(903) 439-4040

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• DX Imaging, LTD

  • Diagnostic Radiology Physician
  • Mount Pleasant, TX
  • NPI 1417982174
  NPD (past)
• Southwest Mobile Imaging, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Sulphur Springs, TX
  • NPI 1992994156
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629094305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754610100",
            "telephone_number": "903-785-6029",
            "fax_number": "903-785-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AIRPORT RD",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822105",
            "telephone_number": "903-439-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JERRY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "D4169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iya E. Edwards (New Dimension Healthcare Services)
• Hailey Nicole Jackson
• Phil D Jackson, DDS
• Jeff D Smith MD PA (Family First Medical Center)
• Jennifer Staten, LCSW, LLC
• Carolyn Marie Jewett, L.P.C.
• Johns-Dunn Services, LLC
• Alysia Necaia Johnson
• Matthew L. Johnson, D.D.S.
• Matthew Michael Johnson, M.D.

• Diagnostic Radiology Physician in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Diagnostic Radiology Physician in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.