Active NPI
Jesse Tom Peurifoy, M.D.
- Specialist
- Troy, AL
National Provider Identifier
1831106459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24955
- Practice address
- 1340 Highway 231 S
Suite 5
Troy, AL 36081-3011 - Phone
- (334) 670-5568
- Fax
- (334) 670-5279
- NPI assigned
- Aug 3, 2006
- Last updated
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24955 | AL | Primary |
Addresses
Primary practice location
1340 Highway 231 S
Suite 5
Troy, AL 36081-3011
Mailing address
1330 Highway 231 S
Troy, AL 36081-3058
Phone (334) 670-5474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009934676 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24955 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Surgical PA | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Enterprise, AL
- NPI 1588745277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1831106459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 HIGHWAY 231 S",
"city": "TROY",
"state": "AL",
"postal_code": "360813058",
"telephone_number": "334-670-5474",
"fax_number": "334-670-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 HIGHWAY 231 S",
"address_2": "SUITE 5",
"city": "TROY",
"state": "AL",
"postal_code": "360813011",
"telephone_number": "334-670-5568",
"fax_number": "334-670-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEURIFOY",
"first_name": "JESSE",
"middle_name": "TOM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "24955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009934676",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.