James Lloyd Persson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

043108 Issued in GA

Practice address

301 Andrews Ave
Fort Rucker, AL 36362

Phone

(334) 255-7710

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1871573972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 OVIEDO ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614029",
            "telephone_number": "850-934-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Hulse Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325081092",
            "country_code": "US",
            "telephone_number": "850-452-3154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSSON",
        "first_name": "JAMES",
        "middle_name": "LLOYD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "043108",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas John Pawlik, P.T., A.T.C.
• Tammy Ellen Peacock, PH.D., LCSW
• Eric Winston Pelkey, NREMT-P
• Evangelina Perez, X-RAY TECHNICIAN MIL
• Carol Perry, LPN
• Carolyn Peterson
• Sarah Peterson, CONTACT REP.
• Elizabeth A. Petty
• George McLeod Petty Jr., PH.D.
• Joy Evelyn Phillips, LPN

• Family Medicine Physician in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.