Individual provider Active NPI

Jessica Pearlstein, PA

  • Physician Assistant
  • Troy, AL
National Provider Identifier
1194282574
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1443 Issued in AL
Practice address
1330 Highway 231 S
Troy, AL 36081-3058
Phone
(334) 670-5475
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1443 AL Primary

Addresses

Primary practice location

1330 Highway 231 S
Troy, AL 36081-3058

Mailing address

105 Lynwood Rd
Troy, AL 36081-2409

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
I20190722003534 AL Practitioner - Physician Assistant 1153657697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Troy Regional Physicians IncGroup PAC ID 1850587361, 17 clinicians

Practice addresses (Care Compare)

1320 Hwy 231 S
Troy, AL 36081-3000
Phone (334) 670-5430

1330 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 670-5000

Hospital & facility affiliations

  • Troy Regional Medical Center Hospital, Troy, AL, CCN 010126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Regional Physicians Inc CurrentSince Mar 20, 2019 Accepting new patients
Troy Hospital Health Care Authority CurrentSince Nov 14, 2024 Accepting new patients
Troy Regional Physicians Inc CurrentSince Mar 20, 2019 Accepting new patients

Locations

1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

1320 Highway 231 S
Ste 4
Troy, AL 36081
Phone (334) 670-5475

Interoperability endpoints

  • Direct secure messaging: jessica.pearlstein.1@3503.direct.athenahealth.com

Organizations & group practices 3

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1194282574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LYNWOOD RD",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 HIGHWAY 231 S",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813058",
            "telephone_number": "334-670-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLSTEIN",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.