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JEROME EDWIN JENNINGS MD NPI 1861495806


NPI Information

NPI: 1861495806
Provider Name: JEROME EDWIN JENNINGS, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Address:
1345 WESTGATE CENTER DR
SUITE B
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-1571
Get Directions

Jerome Edwin Jennings, MD is an orthopaedic surgery in Winston Salem, NC. The provider is 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. Jerome Edwin Jennings, MD NPI is 1861495806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1345 WESTGATE CENTER DR
SUITE B
WINSTON SALEM, NC
ZIP 27103-040
Phone: (336) 765-1571
Fax: (336) 659-0425

The enumeration date for this NPI number is 5/23/2005 and was last updated on 2/18/2013.


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
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery17013NORTH CAROLINANo
2207XX0005XOrthopaedic SurgerySports Medicine17013NORTH CAROLINANo
3207X00000XOrthopaedic Surgery17013NORTH CAROLINAYes

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
18945906MEDICAIDNORTH CAROLINA
20223770001OTHERNORTH CAROLINAMEDICARE DME
345906OTHERNORTH CAROLINABCBSNC
4201507MEDICARE PINNORTH CAROLINA
5C80717MEDICARE UPINNORTH CAROLINA

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.