Jerry C Roy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19476 Issued in NH

Practice address

1412 Elba Hwy
Troy, AL 36079-6020

Phone

(334) 566-8822

Fax

(334) 808-8942

NPI assigned

Aug 9, 2006

Last updated

Jan 7, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167
  Medicare reassignment NPD
• Appledore Medical Group, Inc.

  dba dba North Hampton Family Practice

  • Family Medicine Physician
  • North Hampton, NH
  • NPI 1174512693
  NPD (past)
• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  Pediatrics

  NPD (past)
• Covenant Medical Group

  dba Covenant Family Healthcare Center

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1780694943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-566-8822",
            "fax_number": "334-808-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Rochester Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038671709",
            "country_code": "US",
            "telephone_number": "603-332-0238",
            "fax_number": "603-332-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "JERRY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-01-07",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "19476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3116336",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "T400632270",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fmhinternal@frisbie.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "245 Rochester Hill Rd",
            "city": "Rochester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038671709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kawannon Richardson Taylor, LPC
• Toni Ann Ridge, LMT
• Robert J. Howard D.M.D., P.C.
• Jewel Robinson, RBT
• Adolfo Robledo, M.D.
• David E Runyon, M.D.
• Deborah S. Rushing, FNP-C
• Mary Katherine Salter, RBT
• Taylor Paige Salter, RBT
• Anna Catherine Sasser

• Pediatrics Physician in Troy, AL
• Providers in Troy, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.