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DR. JERALD LEE TENNANT MD
NPI 1710035324
General Practice in Irving, TX

Active since January 08, 2007Opted out of Medicare · through Apr 30, 2028
5601 N MACARTHUR BLVD, SUITE 200, IRVING, TX 75038(972) 580-1156 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerald Lee Tennant Md NPPES

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

DR. JERALD LEE TENNANT MD (NPI 1710035324) is an individual general practice provider in Irving, Texas, licensed in Texas (D1830) and active in the NPI registry since January 2007. He has opted out of Medicare through April 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710035324
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JERALD LEE TENNANTCredential: MD
Location Address5601 N MACARTHUR BLVD, SUITE 200Irving, TX 75038-2606
Mailing Address5601 N Macarthur Blvd, Suite 200Irving, TX 75038-2606 · (972) 580-1156
Phone(972) 580-1156
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1710035324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · D1830
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedOphthalmologyTaxonomy 207W00000X · License D1830 (TX)

Other Names 1

Other Name (5)Dr. Jerry Lee Tennant Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jerald Lee Tennant Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2014 through April 30, 2028.

Opt-Out Effective DateApril 30, 2014
Opt-Out In Effect ThroughApril 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jerald Tennant's NPI number?

The NPI number for Jerald Tennant is 1710035324. It was assigned to this individual provider in the NPPES registry on January 8, 2007. The provider is also known as Dr. Jerry Lee Tennant MD.

Where is Jerald Tennant located?

Jerald Tennant practices at 5601 N Macarthur Blvd Suite 200, Irving, TX 75038. The listed phone number is (972) 580-1156.

What is Jerald Tennant's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jerald Tennant enrolled in Medicare?

No. Jerald Tennant has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jerald Tennant was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.