Jernigan Surgery Clinic PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JERNIGAN SURGERY CLINIC PLLC

Practice address

1205 Russell St
Union City, TN 38261-5352

Phone

(731) 884-0002

Fax

(731) 884-1555

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Wright Jernigan III, M.D.

Title

Owner

Phone

(731) 884-0002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1962414268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 RUSSELL ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615352",
            "telephone_number": "731-884-0002",
            "fax_number": "731-884-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RUSSELL ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615352",
            "telephone_number": "731-884-0002",
            "fax_number": "731-884-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERNIGAN SURGERY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-884-0002",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Oncology, PLLC
• Jami Lane Ivey, LCSW, LADAC
• Lauren Elizabeth Jackson, PHARMD
• Tammeth Lynn James, RD
• Jami Ivey, PC
• Alicia Nicole Jernigan, FNP-C
• Thomas W Jernigan III, M.D.
• Johnny R Miller DMD Family Dentistry Inc
• Denise Ritchie Johnson, PT
• Dominque Lynnea Johnson, LPN

• Surgery Physician in Union City, TN
• Providers in Union City, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.