JAMES MATTHEW JERNIGAN (NPI# 1588773469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588773469 |
| Entity Type | Individual |
| Full Name | JAMES MATTHEW JERNIGAN |
| Credential | D.C. |
| Practice Address |
4830 South Fwy Fort Worth TX 76115-3901 |
| Practice Telephone | 8179260012 |
| Practice Fax Number | 8179270533 |
| Mailing Telephone | 8179260012 |
| Mailing Fax Number | 8179270533 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4462 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER NUMBER | 601782 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447771332 | James Jernigan Jr. | Chiropractor | 1003 High House Rd Ste 106, Cary, NC 27513-3585 | 2017-06-29 |
| 1477674299 | James M Jernigan | Dentist | 4807 Maple Ave, Suite 300, Dallas, TX 75219-1006 | 2007-04-02 |
| 1396132171 | James David Jernigan Jr. | Marriage & Family Therapist | 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 | 2015-04-20 |
| 1255642948 | James Anthony Jernigan | Anesthesiology | 22 Bramhall St, Portland, ME 04102-3134 | 2010-06-28 |
| 1871550079 | James Elisha Jernigan | Family Medicine | 7255 Hanover Green Dr, Mechanicsville, VA 23111-1706 | 2006-05-01 |
| Street Address |
4830 SOUTH FWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76115-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629635677 | Nolan Alexander Smith | Chiropractor | 4830 South Fwy, Fort Worth, TX 76115-3901 | 2019-05-24 |
| 1043702095 | Valiant Life Medical Pllc | General Practice | 4830 South Fwy, Fort Worth, TX 76115-3901 | 2018-06-05 |
| 1104060060 | Miekka Estelle Thye | Speech-Language Pathologist | 4830 South Fwy, Fort Worth, TX 76115-3901 | 2009-04-22 |
| 1922241066 | Julie Morris Watson | Speech-Language Pathologist | 4830 South Fwy, Fort Worth, TX 76115-3901 | 2009-04-17 |
| 1053566273 | Chirotech, Inc | Clinic/Center | 4830 South Fwy, Fort Worth, TX 76115-3901 | 2008-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| 1790393783 | Heather Rodriguez | Chiropractor | 6300 Ridglea Pl Ste 128, Fort Worth, TX 76116-5704 | 2020-07-16 |
| 1386265114 | Common Sense Health Solution LLC | Chiropractor | 11751 Alta Vista Rd Ste 203, Fort Worth, TX 76244-6442 | 2020-05-04 |
| 1831724533 | Colby King | Chiropractor | 9453 N Beach St, Fort Worth, TX 76244-9059 | 2020-03-03 |
| 1174157309 | Morton Medical Management, Pllc | Chiropractor | 7909 Gardengate Ln, Fort Worth, TX 76137-1071 | 2020-02-26 |
| 1164055141 | Fort Worth Chiropractic Clinic Pllc | Chiropractor | 2920 Oak Park Cir Ste 101, Fort Worth, TX 76109-1853 | 2020-02-18 |
| 1659902708 | Jordan Alan Tittle | Chiropractor | 2901 Acme Brick Plz Ste 201, Fort Worth, TX 76109-4124 | 2020-01-28 |
| 1518504141 | Rachel Spicer | Chiropractor | 4825 Overton Ridge Blvd Ste 316, Fort Worth, TX 76132-1425 | 2019-12-02 |
| 1942850086 | Aurora Marie Averill | Chiropractor | 2317 N Tarrant Pkwy Ste 451, Fort Worth, TX 76177-2214 | 2019-09-19 |
| 1972153641 | Levi Dean Skog | Chiropractor | 10761 Founders Way, Fort Worth, TX 76177-1574 | 2019-09-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76115 |
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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.