ALVIN DWAYNE JERNIGAN SR. (NPI# 1306303821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306303821 |
| Entity Type | Individual |
| Full Name | ALVIN DWAYNE JERNIGAN SR. |
| Practice Address |
386 Ne Voss Rd Lake City FL 32055-1486 |
| Practice Telephone | 3862923154 |
| Mailing Telephone | 3862923154 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NON-EMERGENCY TRANSPORT | 343900000X | 01 |
| Street Address |
386 NE VOSS RD |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415159 | Brenda Pryce | Non-emergency Medical Transport (VAN) | 313 Sw Nightshade Dr, Lake City, FL 32024-1836 | 2019-03-12 |
| 1154825750 | Parrish Medi-van | Non-emergency Medical Transport (VAN) | 275 Sw Young Pl, Lake City, FL 32025-2181 | 2018-03-20 |
| 1508369273 | Lg Transit LLC | Non-emergency Medical Transport (VAN) | 795 Nw Jake Gln, Lake City, FL 32055-5322 | 2018-03-08 |
| 1255831129 | Brenda Littrell | Non-emergency Medical Transport (VAN) | 269 Sw Young Pl, Lake City, FL 32025-2181 | 2018-02-17 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1114304961 | Sharing N Caring Medical Transport | Non-emergency Medical Transport (VAN) | 193 Se Eloise Ave, Lake City, FL 32025-4731 | 2015-04-30 |
| 1619262789 | Cms Professional Transport, Inc. | Non-emergency Medical Transport (VAN) | 181 Se Hernando Ave, Lake City, FL 32025-4428 | 2011-06-16 |
| 1912204967 | Acj Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 346 Se Evergreen Dr, Lake City, FL 32025-6868 | 2011-02-26 |
| 1306147541 | Handi Transport, Inc | Non-emergency Medical Transport (VAN) | 531 Sw Jones Terr, Lake City, FL 32025 | 2010-11-04 |
| 1699913079 | B & L Transit 2 | Non-emergency Medical Transport (VAN) | 5089 Sw Birley Ave, Lake City, FL 32024-0991 | 2009-01-23 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on ALVIN DWAYNE JERNIGAN SR..
| 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.