MR. JESSIE LEE COPELAND JR. (NPI# 1164412474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164412474 |
Entity Type | Individual |
Full Name | MR. JESSIE LEE COPELAND JR. |
Credential | M.D. |
Practice Address |
110 Doctors Dr Celina TN 38551 |
Mailing Address |
Po Box 388 Celina TN 38551-0388 |
Practice Telephone | 9312433860 |
Practice Fax Number | 9312434607 |
Mailing Telephone | 9312433860 |
Mailing Fax Number | 9312434607 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2019-09-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 30843 | TN | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | MD30843 | TN | Allopathic & Osteopathic Physicians |
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
MD30843 | TN | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 30843 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1510372 | 05 | |
TN | TAX ID | 141913142 | 01 |
TN | 3837472 | 05 | |
TN | RAILROAD MEDICARE | P00162052 | 01 |
TN | 3726598 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730499963 | Jessie Copeland | Physician Assistant | Nrhn Rehab Physician Services, 70 Butler Street, Salem, NH 03079 | 2010-10-21 |
Street Address |
110 DOCTORS DR |
City | CELINA |
State | TN |
Zip Code | 38551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093340622 | Gabriel Pierce | Nurse Practitioner | 110 Doctors Dr, Celina, TN 38551-5092 | 2020-03-04 |
1023540457 | Vicky Dillon | Nurse Practitioner | 110 Doctors Dr, Celina, TN 38551 | 2017-04-03 |
1295121697 | Greda Cherry | Nurse Practitioner | 110 Doctors Dr, Celina, TN 38551-5092 | 2015-04-13 |
1558676445 | Cumberland River Hospital Inc | Clinic/Center | 110 Doctors Dr, Celina, TN 38551-4040 | 2010-08-16 |
1356427462 | Cumberland River Hospital Inc | Family Medicine | 110 Doctors Dr, Celina, TN 38551-5092 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073806154 | Xpress Pharmacy of Clay County | Pharmacy | 651 S. Brown St., Celina, TN 38551 | 2011-05-23 |
1821380684 | Everett Dillard Whitson | Pharmacist | 1000 Gainesboro Hwy, Celina, TN 38551 | 2011-05-11 |
1437384310 | Jean T Donaldson | Dentist | 107 Donaldson Avenue, Celina, TN 38551 | 2009-05-21 |
1487878807 | Tara Ashlock Anderson | Pharmacist | 151 Mcarthur Avenue, Celina, TN 38551 | 2007-04-13 |
1245328947 | Ronnie Raines | Nurse Practitioner | 100 Old Jefferson Street, Celina, TN 38551 | 2006-10-10 |
1184711673 | Roberto S Mauricio | Family Medicine | 102 Old Jefferson St, Celina, TN 38551 | 2006-10-06 |
1063520146 | Donaldson Pharmacy | Pharmacy | 201 Mcarthur Ave., Celina, TN 38551 | 2006-08-28 |
1245601962 | Anitra Ostos | Registered Nurse | 115 Guffey St, Celina, TN 38551 | 2015-10-08 |
1265828750 | Anderson Hometown Pharmacy, LLC | Pharmacy | 151 Mcarthur Avenue, Celina, TN 38551 | 2015-04-10 |
1518272525 | Association of University Radiologists, PC | Nuclear Medicine | 100 Old Jefferson Street, Celina, TN 38551 | 2010-08-13 |
Find all providers in zip 38551 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346388568 | Samson Kanla Orusa | Internal Medicine | 261 Stonecrossing Dr, Clarksville, TN 37042-8404 | 2007-02-01 |
1679649271 | Ara James Hanissian | Internal Medicine | 574 Green Tree Cv, Suite 101, Collierville, TN 38017-2562 | 2006-11-27 |
1245289305 | Alston Graham Warr | Internal Medicine | 7715 Wolf River Blvd, Germantown, TN 38138 | 2006-05-08 |
1801845821 | Bradley Paul Carter | Internal Medicine | 2202 Martin Luther King Jr Ave, Knoxville, TN 37915-1570 | 2006-05-08 |
1932157260 | Brent Michael Snader | Internal Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2006-05-05 |
1215126644 | John T Clardy Sr Md Inc | Internal Medicine | 215 8th St, Clarksville, TN 37040-3249 | 2007-10-22 |
1831385012 | Jayraj C. Shah, Md,pc | Internal Medicine | 416 N Locust Ave, Lawrenceburg, TN 38464-3518 | 2007-09-20 |
1376747931 | Annola Kilai Dildy | Internal Medicine | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2007-06-14 |
1134336563 | Rajesh Shivaji Kadam | Internal Medicine | 403 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2007-05-16 |
1386790491 | Jerome S. Siegel, M.d. P.C. | Internal Medicine | 6025 Walnut Grove Rd, Suite 607, Memphis, TN 38120-2131 | 2007-01-25 |
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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.