DR. JASON MATTHEW JERRY (NPI# 1023284353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023284353 |
| Entity Type | Individual |
| Full Name | DR. JASON MATTHEW JERRY |
| Credential | M.D. |
| Practice Address |
35 Memorial Dr Pinehurst NC 28374-8708 |
| Practice Telephone | 9107153376 |
| Mailing Telephone | 9107153376 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
2016-02570 | NC | Allopathic & Osteopathic Physicians |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
ME86759 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3065454 | 05 | |
| NC | 1023284353 | 05 |
| Street Address |
35 MEMORIAL DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150014 | Elizabeth Harry | Social Worker | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2005-11-11 |
| 1588296826 | Lauren Alexa Williams | Physician Assistant | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2020-02-05 |
| 1528615267 | Matthew Ray Eubanks | Physician Assistant | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2019-08-19 |
| 1154981496 | Kelly King | Nurse Practitioner | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2019-06-18 |
| 1851870802 | Tracy Overton Pritchard | Nurse Practitioner | 35 Memorial Dr, Pinehurst, NC 28374 | 2018-08-10 |
| 1366892754 | Robin Caswell | Social Worker | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2016-06-15 |
| 1437515335 | Kondie Lee Lykins | Physician Assistant | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2016-01-07 |
| 1518354737 | Amy Marie Scribben | Nurse Practitioner | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2015-04-26 |
| 1891106860 | Wound Care Innovations of Golfland, Pllc | Emergency Medicine | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2014-05-13 |
| 1255769220 | Zoe Panizzi | Nurse Practitioner | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2013-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356383947 | Fernando Cobos | Psychiatry & Neurology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| 1124446430 | Hien Ngoc Nguyen | Psychiatry & Neurology | 2172 N Salem St Ste 105, Apex, NC 27523-6457 | 2014-04-03 |
| 1467798520 | Sabina Benel | Psychiatry & Neurology | 5252b N Sharon Amity Rd, Charlotte, NC 28215-0053 | 2012-12-18 |
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1962585513 | Elizabeth Shirley Stanton | Psychiatry & Neurology | 129 Mayo St, Hillsborough, NC 27278 | 2006-10-24 |
| 1548373525 | Marvin J Hoffert | Psychiatry & Neurology | 1011 Schaub Dr, Suite 201, Raleigh, NC 27606-1862 | 2006-08-16 |
| 1437162096 | Gregory Oran Dill | Psychiatry & Neurology | 932 Hendersonville Rd Ste 105c, Asheville, NC 28803-6628 | 2006-08-14 |
| 1538183942 | Gary G. Leonhardt | Psychiatry & Neurology | 203 Government Cir, Greenville, NC 27834-8198 | 2006-07-27 |
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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.