DR. JERRY LAWLER PHD
NPI 1710076278
Psychologist in Glen Burnie, MD
About Dr. Jerry Lawler Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERRY LAWLER PHD (NPI 1710076278) is an individual psychologist in Glen Burnie, Maryland, licensed in Maryland (03765) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jerry Lawler Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerry Lawler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ellicott City, MD 21042
- Reassigned Medicare billing, Maryland enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
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 Lawler's NPI number?
The NPI number for Jerry Lawler is 1710076278. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is Jerry Lawler located?
Jerry Lawler practices at 30 Greenway St NW Ste 5, Glen Burnie, MD 21061. The listed phone number is (410) 760-9079.
What is Jerry Lawler's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jerry Lawler enrolled in Medicare?
Yes. Jerry Lawler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerry Lawler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Lawler reassigns Medicare benefits to Jerry T. Lawler Phd Psychologist LLC (Ellicott City, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Lawler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerry Lawler was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.