JERRY LAMON POWELL (NPI# 1669405536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669405536 |
| Entity Type | Individual |
| Full Name | JERRY LAMON POWELL |
| Credential | MD |
| Practice Address |
1750 Kernersville Medical Pkwy Kernersville NC 27284-7146 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3365644866 |
| Practice Fax Number | 3365644869 |
| Mailing Telephone | 3365644866 |
| Mailing Fax Number | 3365644869 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0099-00991 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 9900991 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891238C | 05 | |
| NC | RR MEDICARE | 110245714 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769054 | Jerry Richard Powell | Pharmacist | 3595 N State Route 560, Urbana, OH 43078-9367 | 2020-10-26 |
| 1740376409 | Jerry Dean Powell | Counselor | 916 Arsenal Ave, Fayetteville, NC 28305-5328 | 2006-10-04 |
| 1801896543 | Jerry Allen Powell | Radiology | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2005-07-22 |
| 1780666198 | Jerry Sherman Powell | Internal Medicine | 4501 X St, Sacramento, CA 95817-2229 | 2005-11-19 |
| 1619958378 | Jerry R Powell II | Emergency Medicine | 1400 E 9th St, Rochester, IN 46975 | 2005-11-09 |
| Street Address |
1750 KERNERSVILLE MEDICAL PKWY |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968864 | Fernando Crotte | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2005-11-04 |
| 1396372322 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2020-03-27 |
| 1992331235 | Jennifer Lynn Pyle | Physician Assistant | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2020-03-18 |
| 1902462674 | Novant Medical Group, Inc. | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2019-05-17 |
| 1750852034 | Kernersville Emergency Group, Pllc | Emergency Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2018-12-11 |
| 1376070458 | Novant Medical Group, Inc | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2017-05-19 |
| 1659724128 | Forsyth Memorial Hospital Inc | Family Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-07-19 |
| 1003279704 | Louis Bruno Fornage | Emergency Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-03-30 |
| 1457711392 | Novant Medical Group Inc | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-03-04 |
| 1477911675 | Krystle H. Dove | Registered Nurse | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1881879310 | Adnan A Javaid | Internal Medicine | 771 Park Centre Dr Ste C, Kernersville, NC 27284-3777 | 2008-01-03 |
| 1700911278 | Forsyth Memorial Hospital Inc | Internal Medicine | 280 Broad St Ste 280d, Forsyth Internal Medicine - Kernersville, Kernersville, NC 27284-2796 | 2007-02-23 |
| 1619968864 | Fernando Crotte | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2005-11-04 |
| 1376070458 | Novant Medical Group, Inc | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2017-05-19 |
| 1821416223 | Eric Gavour | Internal Medicine | 291 Broad St, Kernersville, NC 27284 | 2014-04-02 |
| 1538586284 | Forsyth Memorial Hospital Inc | Internal Medicine | 1710 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284-7156 | 2014-03-19 |
| 1922434307 | Cornerstone Health Care, LLC | Internal Medicine | 861 Old Winston Rd, Suite 101, Kernersville, NC 27284-7140 | 2013-09-18 |
| 1881933992 | Forsyth Memorial Hospital Inc | Internal Medicine | 445 Pineview Dr, Suite 240, Kernersville, NC 27284-3818 | 2013-02-08 |
| 1811286891 | Farheen Suroor Qureshi | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2011-03-30 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
Please comment or provide details below to improve the information on JERRY LAMON POWELL.
| 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.