Jerry Lee Gentry II, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

N8918 Issued in TX

Practice address

5514 Atascocita Rd
Suite 290
Humble, TX 77346-2968

Phone

(713) 400-3038

Fax

(832) 644-5597

NPI assigned

Oct 5, 2006

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pain Management

Education

Howard University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spring Sport and Spine, PLLCGroup PAC ID 5496116113, 4 clinicians

Spine and Rehab Affiliates PLLCGroup PAC ID 9436562717, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Woodlands Specialty Hospital Hospital, Spring, TX, CCN 670267
• Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.gentry.1@11939.direct.athenahealth.com
• Direct secure messaging: jerry.gentry.1@14047.direct.athenahealth.com

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.

• Spine & Rehab Affiliates PLLC

  • Interventional Pain Medicine Physician
  • The Woodlands, TX
  • NPI 1710586011
  Medicare reassignment Care Compare group NPD
• Spring Sport & Spine, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Spring, TX
  • NPI 1174213961
  Medicare reassignment Care Compare group NPD
• North Houston Family Medicine PLLC

  • Family Medicine Physician
  • Spring, TX
  • NPI 1336585397

  Interventional Pain Medicine

  Medicare reassignment NPD
• Relief Pain and Wellness

  • Interventional Pain Medicine Physician
  • Humble, TX
  • NPI 1245680255
  Authorized official Same address or phone
• Cypresswood Physicians PLLC

  • Hospitalist Physician
  • Spring, TX
  • NPI 1043605785
  NPD (past)
• Houston Spine & Rehabilitation Affiliates, PLLC

  • Pain Medicine Physician
  • The Woodlands, TX
  • NPI 1861842767
  NPD (past)

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

• Townsen Memorial Health System LLC

  dba Townsen Memorial Hospital

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1376870840
  Care Compare affiliation
• Woodlands Specialty Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184042822
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1750477683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 ATASCOCITA RD",
            "address_2": "SUITE 290",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462968",
            "telephone_number": "713-400-3038",
            "fax_number": "832-644-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 ATASCOCITA RD",
            "address_2": "SUITE 290",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462968",
            "telephone_number": "713-400-3038",
            "fax_number": "832-644-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "N8918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "9805166",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118334",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamika Gatlin, LPC
• GBS Neurospine Surgical, PLLC
• Florence Dangga Gemia
• Genesis RX LLC (Genesis RX)
• Genesis RX West,LLC
• George a Brooks PA (Regional Medical Center and Diagnostic Clinics)
• Bennet John George, M.D.
• Swapna Ann George, OTR
• Lester Paul Gerson, M.D.
• Get Well at Home Care Agency

• Interventional Pain Medicine Physician in Humble, TX
• Providers in Humble, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.

Verify at the official NPI Registry.