Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jaclyn Beaghan Bergeron, M.D.

Internal Medicine Physician in Memphis, TN · enumerated 2009 · practices at Christian Counseling and Consulting, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639313208

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Registry record

Entity type Individual (Type 1)

Name Dr. Jaclyn Beaghan Bergeron

Credential M.D.

Sex Female

Practice address 1169 Jefferson Ave, Memphis, TN, 38104

Phone (901) 425-1880

Fax (901) 725-5766

Enumeration date Apr 27, 2009

Last updated in NPPES Apr 27, 2020

Taxonomy & licenses

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 50407 (TN) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 50407 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
Q013161	Medicaid	TN	-
6055871	Other	TN	BCBS
04058365	Medicaid	MS	-
199952001	Medicaid	AR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jaclyn Bergeron's NPI record?

Cross-check NPI 1639313208 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1639313208 active?

Yes, as of the latest NPPES snapshot, NPI 1639313208 is active (record last updated 2020-04-27).

Other providers at this practice address

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Heather Swanson Hospitalist Physician · Memphis, TN NPI 1083695688 Mark Harris Family Medicine Physician · Memphis, TN NPI 1336298900 Gregory Phelps Internal Medicine Physician · Memphis, TN NPI 1619140209 Jewel Harris Family Medicine Physician · Memphis, TN NPI 1730404377 Christian Counseling and Consulting, LLC Clinical Social Worker · Memphis, TN NPI 1811299514 Sandeep Palakodeti Internal Medicine Physician · Memphis, TN NPI 1568738649 Miranda Mcghee Family Nurse Practitioner · Memphis, TN NPI 1407194269 Dana Sanders Pediatrics Physician · Memphis, TN NPI 1841634649

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-27.