Active NPI
Andrew Pope Terry, M.D.
- Ophthalmology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 11622
- Practice address
- 3701 Dauphin St
Mobile, AL 36608-1756 - Phone
- (251) 341-3368
- Fax
- (251) 341-3371
- NPI assigned
- Sep 14, 2005
- Last updated
- Apr 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 11622 | AL | Primary |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 11622 | AL |
Addresses
Primary practice location
3701 Dauphin St
Mobile, AL 36608-1756
Mailing address
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000034531 | Medicaid | AL | |
| 4113072 | Other | AL | AETNA PROVIDER # |
| 51034531 | Other | AL | BLUE CROSS PROVIDER # |
| B64295 | Other | AL | HEALTHSPRING PROVIDER # |
| 0810149 | Other | AL | UNITED HEALTHCARE PROV. # |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Alabama School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.49 of 100
- Quality
- 81.75
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11622 | AL | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Management, Inc. | Ophthalmology | Current | Accepting new patients |
| Premier Health Management, Inc. | Ophthalmology | Current | Accepting new patients |
Locations
2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368
3701 Dauphin St
Mobile, AL 36608
Phone (251) 341-3368
126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900
Interoperability endpoints
- aterry@pm.gwaydirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Mobile, AL
- NPI 1538154760
-
dba Premier Optical Foley
- Eyewear Supplier
- Foley, AL
- NPI 1528783024
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1154316321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081756",
"telephone_number": "251-341-3368",
"fax_number": "251-341-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "ANDREW",
"middle_name": "POPE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "11622",
"primary": true
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "AL",
"license": "11622",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000034531",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "4113072",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "51034531",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING PROVIDER #",
"identifier": "B64295",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROV. #",
"identifier": "0810149",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.