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MR. JERRY EMERSON SHAW PA-C
NPI 1265619118
Physician Assistant - Surgical in Memphis, TN

Active since January 23, 2008
3980 NEW COVINGTON PIKE STE 200, MEMPHIS, TN 38128(901) 937-3232(901) 373-0804 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry Emerson Shaw Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY EMERSON SHAW PA-C (NPI 1265619118) is an individual surgical provider in Memphis, Tennessee, licensed in Tennessee (815) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1265619118
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JERRY EMERSON SHAWCredential: PA-C
Location Address3980 NEW COVINGTON PIKE STE 200Memphis, TN 38128-2514
Mailing Address5705 Stage Rd, Ste 240Bartlett, TN 38134-4541 · (901) 382-2606 · Fax (901) 373-0809
Phone(901) 937-3232
Fax(901) 373-0804
Sole ProprietorNo
Enumeration DateJanuary 23, 2008
Last NPPES UpdateSeptember 1, 2009
✔ NPI 1265619118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · 815
3980 NEW COVINGTON PIKE STE 200, Memphis, TN 38128
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Shaw's NPI number?

The NPI number for Jerry Shaw is 1265619118. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Jerry Shaw located?

Jerry Shaw practices at 3980 New Covington Pike Ste 200, Memphis, TN 38128. The listed phone number is (901) 937-3232.

What is Jerry Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jerry Shaw was last updated on September 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.