JERRY PETERS MD
NPI 1144250036
Emergency Medicine in Jackson, TN

NPI Status: Active since July 04, 2006

Contact Information

708 W FOREST AVE
JACKSON, TN
ZIP 38301
Phone: (731) 660-8759

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  • Individual
  • Male
  • Emergency Medicine

About JERRY PETERS

This page provides the complete NPI Profile along with additional information for Jerry Peters, a provider established in Jackson, Tennessee with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1144250036 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number 15795 (TN). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1144250036
Provider Name
JERRY PETERS MD
Gender
Male
Entity Type
Individual
Location Address
708 W FOREST AVE JACKSON, TN 38301
Location Phone
(731) 660-8759
Mailing Address
1804 HIGHWAY 45 BYP STE 604 JACKSON, TN 38305
Mailing Phone
(731) 660-8759
Is Sole Proprietor?
No
Enumeration Date
07-04-2006
Last Update Date
07-16-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
15795
License State
TN
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3009617MEDICAID (05)TN 
3009618MEDICAID (05)TN 
3009618MEDICARE PIN (08)TN 
4105495OTHER (01)BCBS
3009617MEDICARE PIN (08)TN 
A97391MEDICARE UPIN (02)TN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144250036, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 4 + 5 + 0 + 0 + 6 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1144250036.

Other Providers at the Same Location


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

Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Physician Assistant (Medical)
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Physician Assistant (Medical)
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
708 W FOREST AVE
JACKSON, TN 38301
Pathology (Anatomic Pathology & Clinical Pathology)
708 W FOREST AVE
JACKSON, TN 38301
Pathology (Anatomic Pathology & Clinical Pathology)
708 W FOREST AVE
JACKSON, TN 38301
Pathology (Anatomic Pathology & Clinical Pathology)
708 W FOREST AVE
JACKSON, TN 38301
Pathology (Anatomic Pathology & Clinical Pathology)
708 W FOREST AVE
JACKSON, TN 38301
Pathology (Anatomic Pathology & Clinical Pathology)
708 W FOREST AVE
JACKSON, TN 38301
Internal Medicine
708 W FOREST AVE
JACKSON, TN 38301
Internal Medicine
708 W FOREST AVE
JACKSON, TN 38301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144250036, enumerated as an "individual" on July 04, 2006.

The provider is located at 708 W FOREST AVE JACKSON, TN 38301 and the phone number is (731) 660-8759.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.