Individual provider Active NPI

Terry W. Perry, M.D.

  • Family Medicine Physician
  • Gadsden, AL
National Provider Identifier
1447296892
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25932 Issued in AL
Practice address
705 S 3Rd St
Gadsden, AL 35901-5305
Phone
(256) 546-1445
Fax
(256) 485-4765
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25932 AL Primary

Addresses

Primary practice location

705 S 3Rd St
Gadsden, AL 35901-5305

Mailing address

705 S 3Rd St
Gadsden, AL 35901-5305
Phone (256) 546-1445

Other identifiers 1

IdentifierTypeStateIssuer
009949525MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001565 AL Practitioner - Family Practice 3476543737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25932ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medicine and Pediatrics CurrentSince Sep 27, 2010 Accepting new patients
Alabama Hma Physician Management, LLC Family Medicine Past Accepting new patients
ENT Associates of Alabama, P.C. Past Accepting new patients
BHC-Blount & Etowah Counties Family Medicine Past Accepting new patients

Locations

705 S 3rd St
Gadsden, AL 35901
Phone (256) 546-1445

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7404/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1447296892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015305",
            "telephone_number": "256-546-1445",
            "fax_number": "256-485-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015305",
            "telephone_number": "256-546-1445",
            "fax_number": "256-485-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "TERRY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009949525",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.