DR. W. CLARK JERNIGAN M.D. NPI 1003873779

Orthopaedic Surgery (Sports Medicine) in Greenville, SC

About W. JERNIGAN

W. Jernigan is a provider in Greenville, SC with more than 37 years of experience. The NPI number assigned to this provider is 1003873779. The practitioner's primary taxonomy code is Orthopaedic Surgery (207XX0005X). The provider is registered as an individual and their NPI record was last updated 10 years ago. W. Jernigan is registered with Medicare and accepts claims assignment.

NPI1003873779 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. W. CLARK JERNIGAN M.D.
Provider Location Address35 INTERNATIONAL DR GREENVILLE, SC 29615 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address35 INTERNATIONAL DR GREENVILLE, SC 29615 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameMEDICAL COLLEGE OF GEORGIA
Graduation Year1981
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-27-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-10-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. W. CLARK JERNIGAN M.D.
35 INTERNATIONAL DR
GREENVILLE, SC
ZIP 29615
Phone: (864) 234-7654
Fax: (864) 675-1657
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Mailing Address

DR. W. CLARK JERNIGAN M.D.
35 INTERNATIONAL DR
GREENVILLE, SC
ZIP 29615
Phone: (864) 234-7654
Fax: (864) 675-1657

Primary Taxonomy

Taxonomy Code207XX0005X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
SpecializationSports Medicine
License No.10939
License StateSC
Taxonomy DescriptionAn orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery10939SCNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8157OTHER (01)SC
D99376MEDICARE UPIN (02)SC
109395MEDICAID (05)SC

Map Location


DR. W. CLARK JERNIGAN M.D. address is 35 INTERNATIONAL DR GREENVILLE, SC 29615

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083642045DR. JENNIFER P. MARTIN M.D.
Individual
Physical Medicine & Rehabilitation35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1114133899 HEATHER CARDEN MSR,PT
Individual
Physical Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1154389237DR. JOHN H. PAYLOR III M.D.
Individual
Orthopaedic Surgery (Sports Medicine)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1245298355 AMY S. HUNT P.A.
Individual
Physician Assistant (Surgical Technologist)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1326005729 ASHLEY R. SNEED P.T.
Individual
Physical Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1366400301 GARY S. SCHMIDT P.T.
Individual
Physical Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1396702452DR. JAMES E. JENNINGS JR. M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1427015155DR. CHRISTOPHER H. KAVOLUS M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1609913185MR. MICHAEL JOSEPH LASHLEY PA-C
Individual
Physician Assistant (Surgical Technologist)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 679-1999
1619935566 MICHELE H. DURHAM O.T.
Individual
Occupational Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1629153283DR. MARC ANTHONY TANNER M.D.
Individual
Orthopaedic Surgery (Hand Surgery)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1649381294 KEVIN PHILLIPS P.T.
Individual
Physical Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1669439766DR. MICHAEL E. TOLLISON M.D.
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1669688016MS. AMY GIBBS PHYSICAL THERAPIST
Individual
Physical Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1720313893MRS. AMY B ROEMMICH PT
Individual
Physical Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1740355494MRS. TONI PARHAM GRIFFIN PT
Individual
Physical Therapist35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1790742401DR. W. ARNOLD BATSON JR. M.D.
Individual
Orthopaedic Surgery (Hand Surgery)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1790743847DR. JOHN R. VANN M.D.
Individual
Orthopaedic Surgery (Sports Medicine)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1801833470DR. CHRISTOPHER D. VANPELT M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
1801854955DR. JOHN R. ROWELL JR. M.D.
Individual
Orthopaedic Surgery (Sports Medicine)35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654