Shanon Reynolds Jernigan, MD | |
33733 Us Highway 280, Childersburg, AL 35044-3017 | |
(256) 378-3301 | |
(256) 378-3026 |
Full Name | Shanon Reynolds Jernigan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 33733 Us Highway 280, Childersburg, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225139959 | NPI | - | NPPES |
51549289 | Other | AL | BCBS |
103337 | Medicaid | AL | |
MD.27306 | Other | AL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27306 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Immediate Care, Llc | 6103114087 | 29 |
Med Help 280 Llc | 6800849860 | 18 |
Entity Name | Birmingham Internal Medicine Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598796542 PECOS PAC ID: 1658341193 Enrollment ID: O20040730000432 |
Entity Name | Med Help Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083772560 PECOS PAC ID: 0648223602 Enrollment ID: O20050302000234 |
Entity Name | Med Help 280 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174681654 PECOS PAC ID: 6800849860 Enrollment ID: O20050302000240 |
Entity Name | Vincentian Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851698310 PECOS PAC ID: 1557548161 Enrollment ID: O20110608000452 |
Entity Name | Southern Immediate Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467909978 PECOS PAC ID: 6103114087 Enrollment ID: O20161010000102 |
Entity Name | Medhelp Shelby Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053832089 PECOS PAC ID: 2163797689 Enrollment ID: O20171010002009 |
Entity Name | St. Vincent's Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346605821 PECOS PAC ID: 9032463666 Enrollment ID: O20181116001029 |
Mailing Address | Practice Location Address |
---|---|
Shanon Reynolds Jernigan, MD 315 W. Hickory St., Sylacauga, AL 35150-2913 Ph: (256) 401-4000 | Shanon Reynolds Jernigan, MD 33733 Us Highway 280, Childersburg, AL 35044-3017 Ph: (256) 378-3301 |
Jerica Lashay Gibson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 33637 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3313 | |
Susan Deane Mccollum, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34011 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3313 Fax: 256-378-3315 | |
Jarod E Speer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34011 Us Highway 280, Suite A, Childersburg, AL 35044 Phone: 256-378-3313 Fax: 256-378-5912 | |
Molly Andrews Ellis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34011 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3313 | |
Norman Donald Chambers, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33733 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3301 Fax: 256-378-3026 |