Individual
PERRY JERNIGAN
Active
Individual
PERRY JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101259949
VA
2085R0202X
Diagnostic Radiology Physician
Primary
30603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100022659
PHP TNCARE
TN
01
—
300086799
RAILROAD MEDICARE
TN
01
—
3098340
BCBS
TN
05
—
3828412
—
TN
01
—
64305642
KENTUCKY MEDICAID
KY
01
—
7222688
VIRGINIA MEDICAID
VI
01
—
89063JH
NORTH CAROLINA MEDICAID
NC
Enumeration date
05/15/2006
Last updated
04/29/2025
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