NPIMap

Individual provider Active NPI

Jami T Perry, MD

  • Family Medicine Physician
  • Providence, KY
National Provider Identifier
1710050729
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41202 Issued in KY
Practice address
215 E Main St
Providence, KY 42450-1261
Phone
(270) 667-7017
Fax
(270) 667-9065
NPI assigned
Nov 16, 2006
Last updated
Mar 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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 41202 KY Primary

Addresses

Primary practice location

215 E Main St
Providence, KY 42450-1261

Mailing address

PO Box 37
Providence, KY 42450-0037
Phone (270) 667-7017

Other identifiers 1

IdentifierTypeStateIssuer
41202OtherKYKY STATE LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070516000071 KY Practitioner - Family Practice 8820195423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Affiliates, Inc Family Medicine CurrentSince Jul 19, 2017 Accepting new patients
Regional Health Care Affiliates, Inc. Family Medicine Current Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Jul 19, 2017 Accepting new patients

Locations

295 Main St
Calhoun, KY 42327
Phone (270) 273-9310

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

215 E Main St
#215
Providence, KY 42450

Interoperability endpoints

  • Direct secure messaging: jami.perry@rhca.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1710050729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424500037",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JAMI",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY STATE LICENCE",
            "identifier": "41202",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, KY

Sources for this page

Verify at the official NPI Registry.