Jerry M Lawrence

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

21 Pine Rd
Keysville, VA 23947-2018

Phone

(804) 787-3831

NPI assigned

Jan 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1891334199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 LAWRENCE LN # 6",
            "city": "KEYSVILLE",
            "state": "VA",
            "postal_code": "239473611",
            "telephone_number": "804-787-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PINE RD",
            "city": "KEYSVILLE",
            "state": "VA",
            "postal_code": "239472018",
            "telephone_number": "804-787-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JERRY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Hutchinson, PT, DPT
• J&B Transportation, Inc.
• Keysville Chiropractic PLC
• Keysville Chiropractic Wellness Center
• Keysville Pediatrics,PC
• Janette Ann Ammalingan Mamuric, MD
• Teresa A.F. Moore, MD
• Teresa Morgan
• Emily Jeanne Newcomb
• Hannah Poindexter, COTA

• Non-emergency Medical Transport (VAN) in Keysville, VA
• Providers in Keysville, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.