Jayraj C. Shah, MD,PC

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

12977 Issued in TN

Legal business name

JAYRAJ C. SHAH, MD,PC

Practice address

416 N Locust Ave
Lawrenceburg, TN 38464-3518

Phone

(931) 762-8588

Fax

(931) 766-1010

NPI assigned

Sep 20, 2007

Last updated

Jun 11, 2013By 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

Jayraj C. Shah, MDNPI 1457364671

Title

Owner/MD

Phone

(931) 762-8588

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayraj C Shah, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Lawrenceburg, TN
  • NPI 1457364671
  Authorized official Same address or phone

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1831385012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384640508",
            "telephone_number": "931-762-8588",
            "fax_number": "931-766-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643518",
            "telephone_number": "931-762-8588",
            "fax_number": "931-766-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYRAJ C. SHAH, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAYRAJ",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "931-762-8588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "12977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3383582",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3182622",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Allison James
• Leslie James, SLP
• Sherri James, LPC-MHSP
• Janel Smallman Carnes
• Kyle M Janssen, DC
• Jennings Drugs Inc (Holland's Drug)
• Richard Dean Jennings, PHARM.D.
• Joe Melvin Jett Jr., DPH
• John Beasley
• John T. Will, D.D.S.

• Adolescent Medicine (Internal Medicine) Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Adolescent Medicine (Internal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.