Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jerry Emerson Shaw, PA-C

Individual provider Surgical Physician Assistant · NPI 1265619118

Mr. Jerry Emerson Shaw, PA-C is a Surgical Physician Assistant in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3980 New Covington Pike Ste 200
Memphis, TN 38128-2514
Phone: (901) 937-3232
Fax: (901) 373-0804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 815 (TN)

Record details

NPI number1265619118
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2008
Last updated in NPPESSeptember 1, 2009

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