Active NPI
Vernon Lerome Baymon Jr.
- Driver
- Memphis, TN
National Provider Identifier
1972139350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 103696780
- Practice address
- 1661 International Place Dr Ste 400
Memphis, TN 38120-1431 - Phone
- (901) 212-5598
- NPI assigned
- Mar 18, 2020
- Last updated
- Mar 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 103696780 | TN | Primary |
Addresses
Primary practice location
1661 International Place Dr Ste 400
Memphis, TN 38120-1431
Mailing address
1661 International Place Dr Ste 400
Memphis, TN 38120-1431
Phone (901) 212-5598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103696780 | TN | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1972139350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 INTERNATIONAL PLACE DR STE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201431",
"telephone_number": "901-212-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 INTERNATIONAL PLACE DR STE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201431",
"telephone_number": "901-212-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYMON",
"first_name": "VERNON",
"middle_name": "LEROME",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "103696780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.