Grayson Digestive Disease Consultants

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

P2971 Issued in TX

Legal business name

GRAYSON DIGESTIVE DISEASE CONSULTANTS

Practice address

300 N Highland Ave Ste 105
Sherman, TX 75092-7315

Phone

(903) 364-4525

Fax

(903) 617-5467

NPI assigned

Jan 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jermaine Clarke, D.O.

Title

Gastroenterologist

Phone

(903) 364-4525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1962891275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 105",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927315",
            "telephone_number": "903-364-4525",
            "fax_number": "903-617-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 105",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927315",
            "telephone_number": "903-364-4525",
            "fax_number": "903-617-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON DIGESTIVE DISEASE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-10",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "903-364-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P2971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grayson County Health Department
• Grayson County Health Department
• Grayson County Home Health Inc (Grayson Home Health)
• Grayson County Physician's Property, LLC (Heritage Park Surgical Hospital)
• Grayson County Physicians Property LLC (Heritage Park Surgery Center I)
• Grayson Digestive Health PLLC
• Grayson Medical Consultants PA
• Hailey Grayson
• Amy Nicole Green, NP
• Anita Green, BSN RN

• Gastroenterology Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.