JERRY K HUMPHREYS (NPI# 1023052941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023052941 |
| Entity Type | Individual |
| Full Name | JERRY K HUMPHREYS |
| Credential | MD |
| Practice Address |
5655 Frist Blvd Hermitage TN 37076 |
| Mailing Address |
4733 Andrew Jackson Pkwy Ste G1 Hermitage TN 37076 |
| Practice Telephone | 6153163890 |
| Practice Fax Number | 6153163893 |
| Mailing Telephone | 6158830527 |
| Mailing Fax Number | 6158858356 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD0000004460 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3108683 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982736476 | Jerry Beaver Humphreys | Psychologist | 1609 E 10th St, Roanoke Rapids, NC 27870-4103 | 2007-03-10 |
| Street Address |
5655 FRIST BLVD |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679534309 | Mack Adam Jenkins | Emergency Medicine | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2006-03-31 |
| 1215589635 | Nicholas Colt Winchester | Nurse Practitioner | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2019-07-16 |
| 1902369150 | Sarah Ricafrente | Physical Therapist | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2019-04-12 |
| 1972007201 | April O. Swoner | Nurse Practitioner | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2018-03-21 |
| 1003340720 | Annie Walker | Nurse Practitioner | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2017-04-19 |
| 1245699040 | Amy Jessica Harvey | Pharmacist | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2016-02-22 |
| 1053784835 | Affinity Emergency Physicians, Pllc | Physician Assistant | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2015-11-03 |
| 1104295070 | Hermitage Inpatient Services Pllc | Physician Assistant | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2015-09-21 |
| 1962830190 | Two Rivers Emergency Physicians Pllc | Physician Assistant | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-10-25 |
| 1316379738 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518211804 | Luminus Pathology Laboratory Pllc | Pathology | 1732 Thomas Rd, Memphis, TN 38134-6313 | 2012-11-08 |
| 1932457785 | Consolidated Pathology Inc | Pathology | 1802 Hayes St, Nashville, TN 37203-2504 | 2012-08-28 |
| 1407059777 | Laboratory for Kidney Pathology Inc | Pathology | 1916 Patterson St Ste 501, Nashville, TN 37203-2153 | 2007-06-06 |
| 1437206307 | Giovanna Giannico | Pathology | 1161 21st Ave S Mcn C-2104c, Nashville, TN 37232-0001 | 2007-01-04 |
| 1356455620 | George Anthony Youngberg | Pathology | Sydney At Lamont Street, Vamc (151), Mountain Home, TN 37684-4000 | 2006-08-17 |
| 1598795494 | Bruce Leonard Webber | Pathology | 6046 Knight Arnold Road Ext, Suite 101, Memphis, TN 38115-3347 | 2006-07-04 |
| 1386618551 | Lisa Diane Duncan | Pathology | University of Tn Department of Pathology, 1924 Alcoa Highway Drawer U-108, Knoxville, TN 37920 | 2006-02-15 |
| 1922095751 | Theodore A Feintuch | Pathology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2005-10-06 |
| 1063404085 | Juli Anne Mccay | Pathology | 1010 Airpark Center Dr, Nashville, TN 37217-5200 | 2005-08-16 |
| 1851914600 | Amy F Kite | Pathology | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-05-27 |
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| 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.