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JERRY M SHEPPARD M.D. NPI 1649280983


NPI Information

NPI: 1649280983
Provider Name: JERRY M SHEPPARD, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2500 N STATE ST
DEPT OF MEDICINE DIVISION OF GENERAL INTERNAL MEDICINE
JACKSON, MS
ZIP 39225
Phone: (601) 984-2746
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Jerry M Sheppard, M.D. is an internal medicine in Jackson, MS with 23 years of experience. The provider is 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. Jerry M Sheppard, M.D. NPI is 1649280983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

2500 N STATE ST
DEPT OF MEDICINE DIVISION OF GENERAL INTERNAL MEDICINE
JACKSON, MS
ZIP 39225-146
Phone: (601) 984-2746
Fax: (601) 984-6870

The NPI 1649280983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 4/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalist18932MISSISSIPPINo
2207R00000XInternal Medicine18932MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I41854MEDICARE UPINMISSISSIPPI
2P00771086MEDICARE PINMISSISSIPPI
3110002049MEDICARE PINMISSISSIPPI
406356838MEDICAIDMISSISSIPPI
5154127MEDICAIDMISSISSIPPI
6302I115857MEDICARE PINMISSISSIPPI
7512I110337MEDICARE PINMISSISSIPPI
8P01200715MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.