DR. W. CLARK JERNIGAN (NPI# 1003873779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003873779 |
| Entity Type | Individual |
| Full Name | DR. W. CLARK JERNIGAN |
| Credential | M.D. |
| Practice Address |
3150 Highway 153 Piedmont SC 29673-9498 |
| Practice Telephone | 8642951231 |
| Mailing Telephone | 8642951231 |
| Mailing Fax Number | 8642950095 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 10939 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 109395 | 05 | |
| SC | MEDICARE PTAN | 8157 | 01 |
| Street Address |
3150 HIGHWAY 153 |
| City | PIEDMONT |
| State | SC |
| Zip Code | 29673-9498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184083982 | Powdersville Health Internal Medicine | Clinic/Center | 3150 Highway 153, Piedmont, SC 29673-9498 | 2016-02-22 |
| 1881087344 | Janice D Lee | Nurse Practitioner | 3150 Highway 153, Piedmont, SC 29673-9498 | 2015-03-09 |
| 1043458367 | Rakhi Shah Barkowski | Internal Medicine | 3150 Highway 153, Piedmont, SC 29673-9498 | 2009-01-23 |
| 1447456975 | Foothills Ortho & Sports Medicine | Specialist | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-06-22 |
| 1326193418 | Advance Laser & Minimally Invasive Surgery | Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-01-25 |
| 1356493423 | Anne-claire Edwards | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-01-17 |
| 1194896647 | Addictionology Associates LLC | Counselor | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-11-13 |
| 1629153283 | Marc Anthony Tanner | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-10-25 |
| 1851492581 | John P. Evans | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-09-26 |
| 1447296793 | Daniel Eaton Lee | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982674 | Coco Carter | Licensed Practical Nurse | 210 Helen St, Piedmont, SC 29673 | 2020-11-06 |
| 1962975888 | Powdersville Family Pharmacy LLC | Pharmacy | 11061 Anderson Road, Piedmont, SC 29673 | 2019-01-03 |
| 1720571003 | Ingles Markets Inc | Pharmacy | 10903 Anderson Rd, Powdersville, SC 29673 | 2018-06-11 |
| 1982086518 | Joyce C. Gregory | Chore Provider | 2415 Fork Shoals Road, Piedmont, SC 29673 | 2015-06-19 |
| 1053741975 | Darlene Theresa Cooke | Massage Therapist | 100 New Cut Rd, Piedmont, SC 29673 | 2013-11-13 |
| 1497004311 | Robyn Deann Bailey | Pharmacist | 3460 Hwy 153, Piedmont, SC 29673 | 2012-09-06 |
| 1114276003 | Charity W Speed | Pharmacist | 7501 Augusta Road, Piedmont, SC 29673 | 2012-09-06 |
| 1033499827 | Joyce C Gregory | Community Based Residential Treatment Facility, Mental Illness | 2415 Fork Shoals Rd, Piedmont, SC 29673 | 2011-08-24 |
| 1801074273 | Richard Ernest Parnell Jr. | Chiropractor | 108b Clair Dr, Piedmont, SC 29673 | 2008-02-07 |
| 1487854956 | Upstate Neurology, P.a. | Specialist | 103 Clair Drive, Suite D, Piedmont, SC 29673 | 2007-07-23 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268943 | Orthopaedic Center of The Carolinas, Pa | Orthopaedic Surgery | 100 Powers Blvd, Piedmont, SC 29673 | 2006-03-14 |
| 1356493423 | Anne-claire Edwards | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-01-17 |
| 1851492581 | John P. Evans | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.