Individual provider Active NPI

Jessie Taylor Perry, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1063194298
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-162252 Issued in AL
Practice address
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone
(334) 288-7808
Fax
(334) 288-8089
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-162252 AL Primary

Addresses

Primary practice location

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Mailing address

701 Windmill Cir
Helena, AL 35080-1130
Phone (205) 587-0847

Other practice location 1

701 Windmill Cir
Helena, AL 35080-1130
Phone (205) 587-0847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129000674 AL Practitioner - Nurse Practitioner 9739537937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.18 of 100Reported as group
Quality
75.76
Promoting interoperability
98
Improvement activities
40
Cost
73.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Pain of Montgomery LLC CurrentSince Oct 28, 2023 Accepting new patients
The Center for Pain of Montgomery LLC CurrentSince Oct 28, 2023 Accepting new patients

Locations

1022 1st St N
Ste 305
Alabaster, AL 35007
Phone (205) 620-8676

104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445

520 John D Odom Rd
Dothan, AL 36303
Phone (334) 500-3511

210 Fieldstown Rd
Ste 124
Gardendale, AL 35071
Phone (205) 285-8252

855 Downtowner Blvd
Mobile, AL 36609

488 Saint Lukes Dr
Montgomery, AL 36117
Phone (256) 496-2635

2065 E South Blvd
Ste 401
Montgomery, AL 36116

432 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 239-4498

448 Saint Lukes Dr
Montgomery, AL 36117

2101 Chestnut St
Montgomery, AL 36106
Phone (334) 265-9225

3320 Skyway Dr
Ste 701
Opelika, AL 36801
Phone (334) 826-5577

660 McQueen Smith Rd N
Ste E
Prattville, AL 36066
Phone (334) 288-2808

13285 US Highway 231
Troy, AL 36081

201 Defense Hwy
Ste 205
Annapolis, MD 21401

Interoperability endpoints

  • Direct secure messaging: jessie.perry.1@11679.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1063194298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINDMILL CIR",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350801130",
            "telephone_number": "205-587-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Windmill Cir",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "AL",
            "postal_code": "350801130",
            "country_code": "US",
            "telephone_number": "205-587-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JESSIE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-162252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.