Jernigan Healthcare, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

JERNIGAN HEALTHCARE, INC.

Practice address

58 19TH St E
Jasper, AL 35501-5411

Phone

(205) 631-1520

Fax

(205) 631-1522

NPI assigned

Oct 13, 2023

Last updated

Oct 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E Jernigan

Title

President/Ceo

Phone

(205) 631-1520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1679355713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350680879",
            "telephone_number": "205-631-1520",
            "fax_number": "205-631-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015411",
            "telephone_number": "205-631-1520",
            "fax_number": "205-631-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERNIGAN HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "205-631-1520"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper Pediatric Dentistry, LLC
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• Jasper Senior Living LLC (The Terrace Senior Living Community)
• Jasper Urgent Care
• Miali Praytor Jennings, CRNP
• Jerry L. Boshell, D.M.D., P.C.
• Jerry V. Mosley M.D., P.C.
• John G. Jessup, MD
• Tammy Ann Jett, OTR
• Jill Barton Gamotis, DMD, LLC

• Oxygen Equipment & Supplies (DME) in Jasper, AL
• Providers in Jasper, AL by specialty
• Oxygen Equipment & Supplies (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.