EDWARD WILLIAMS JERNIGAN III (NPI# 1356600597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356600597 |
| Entity Type | Individual |
| Full Name | EDWARD WILLIAMS JERNIGAN III |
| Credential | MD |
| Practice Address |
3001 Edwards Mill Rd Ste 200 Raleigh NC 27612-5243 |
| Practice Telephone | 9197815600 |
| Practice Fax Number | 9198636821 |
| Mailing Telephone | 9197815600 |
| Mailing Fax Number | 9198636821 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2018-01948 | NC | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
2018-01948 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6715 Mccrimmon Pkwy Ste 205, Cary, NC 275191916 | 9197815600 | 9198636821 |
| 781 Avent Ferry Rd Ste 110, Holly Springs, NC 275407776 | 9197815600 | 9198636821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982750659 | Edward B Jernigan Jr. | Psychiatry & Neurology | 133 Corporate Dr, Bangor, ME 04401-4312 | 2007-01-26 |
| 1174550339 | Edward W Jernigan | Dentist | 1427 N Wesleyan Blvd, Rocky Mount, NC 27804-1843 | 2006-06-26 |
| Street Address |
3001 EDWARDS MILL RD STE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667265 | Carroll D Kratzer | Podiatrist | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2005-05-24 |
| 1972004927 | Maggie Lynn Bradford | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2018-02-26 |
| 1639691546 | Kristen Ann Burke | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2017-07-12 |
| 1447601075 | Amy Pope | Nurse Practitioner | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2016-06-24 |
| 1225419633 | Lauren Elizabeth Wall | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2015-06-11 |
| 1093134389 | Lindsay A Carnes | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2014-04-15 |
| 1417375155 | Michael Joseph Casale | Orthopaedic Surgery | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2014-03-31 |
| 1952653313 | Kelly Ann Ozbolt | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2012-10-10 |
| 1770833568 | Andrew David Staples | Specialist/Technologist | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2012-09-19 |
| 1265720908 | Rachael Elizabeth Taylor | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2011-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| 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 |
|---|---|---|---|---|
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1669797353 | Tyler Steven Watters | Orthopaedic Surgery | 3001 Edwards Mill Road, Suite 200, Raleigh, NC 27612-5243 | 2010-04-06 |
| 1881740405 | Andre Grant | Orthopaedic Surgery | 3480 Wake Forest Road, Suite 204, Raleigh, NC 27609 | 2007-01-26 |
| 1629127634 | Robert Esposito | Orthopaedic Surgery | 5620 Six Forks Rd Ste 104, Raleigh, NC 27609-8619 | 2007-01-09 |
| 1558313478 | Raleigh Hand To Shoulder Center Pa | Orthopaedic Surgery | 3701 Wake Forest Rd Ste 3100, Raleigh, NC 27609-6832 | 2006-05-17 |
| 1477523876 | Lloyd A Hey | Orthopaedic Surgery | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609 | 2006-01-26 |
| 1417927435 | David Atwell Rendleman IIi | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2006-01-23 |
| 1487647632 | Alfonza Teel | Orthopaedic Surgery | 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612-8105 | 2005-08-23 |
| 1467455832 | Jon Kolkin | Orthopaedic Surgery | 3404 Wake Forest Rd, Ste 303, Raleigh, NC 27609-7341 | 2005-05-31 |
| 1003819434 | James R Post | Orthopaedic Surgery | 3701 Wake Forest Rd, Suite 100, Raleigh, NC 27609-6832 | 2005-05-31 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on EDWARD WILLIAMS JERNIGAN III.
| 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.