MR. JESSIE LEE COPELAND JR.


Address: 110 Doctors Dr, Celina, TN 38551
Phone: 9312433860

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TN 1510372 05
TN TAX ID 141913142 01
TN 3837472 05
TN RAILROAD MEDICARE P00162052 01
TN 3726598 05

Other Providers JESSIE COPELAND

NPI Name Taxonomy Address Enumeration
1730499963 Jessie Copeland Physician Assistant Nrhn Rehab Physician Services, 70 Butler Street, Salem, NH 03079 2010-10-21

Office Location

Street Address 110 DOCTORS DR
City CELINA
State TN
Zip Code 38551

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City CELINA
Zip Code 38551

Improve Information

Please comment or provide details below to improve the information on MR. JESSIE LEE COPELAND JR..

Dataset Information

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.

Trending Searches