DR. JERRY GARDNER MCKINNEY D.D.S.
NPI 1750467445
Dentist - General Practice in Fayetteville, TN

Q: What is Jerry Mckinney's NPI number?

The NPI number for Jerry Mckinney is 1750467445. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Jerry Mckinney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Mckinney was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 27, 2006PECOS Enrolled

110 FRANKLIN AVE N, FAYETTEVILLE, TN 37334(931) 433-4265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jerry Gardner Mckinney D.d.s. NPPES

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

DR. JERRY GARDNER MCKINNEY D.D.S. (NPI 1750467445) is an individual general practice provider in Fayetteville, Tennessee, licensed in Tennessee (4381) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750467445

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY GARDNER MCKINNEYCredential: D.D.S.

Location Address110 FRANKLIN AVE NFayetteville, TN 37334-3012

Mailing Address110 Franklin Ave NFayetteville, TN 37334-3012 · (931) 433-4265

Phone(931) 433-4265

Sole ProprietorYes

Enumeration DateOctober 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750467445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 4381

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

110 FRANKLIN AVE N, Fayetteville, TN 37334

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Gardner Mckinney D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37334 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mckinney's NPI number?

The NPI number for Jerry Mckinney is 1750467445. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Jerry Mckinney located?

Jerry Mckinney practices at 110 Franklin Ave N, Fayetteville, TN 37334. The listed phone number is (931) 433-4265.

What is Jerry Mckinney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jerry Mckinney enrolled in Medicare?

Yes. Jerry Mckinney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Mckinney was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.