Active NPI
Jerry Nolan Gurley, M. D.
- Gynecology Physician
- Talladega, AL
National Provider Identifier
1881661130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 5689
- Practice address
- 724 Stone Ave
Talladega, AL 35160-2219 - Phone
- (256) 362-1410
- Fax
- (256) 362-1410
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 5689 | AL | Primary |
Addresses
Primary practice location
724 Stone Ave
Talladega, AL 35160-2219
Mailing address
724 Stone Ave
Talladega, AL 35160-2219
Phone (256) 362-1410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02558 | 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 |
|---|---|---|---|
| 5689 | AL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1881661130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 STONE AVE",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602219",
"telephone_number": "256-362-1410",
"fax_number": "256-362-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 STONE AVE",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602219",
"telephone_number": "256-362-1410",
"fax_number": "256-362-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURLEY",
"first_name": "JERRY",
"middle_name": "NOLAN",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AL",
"license": "5689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02558",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Talladega, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.