Individual provider Active NPI

James Daniel Perry, PA

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1881965887
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.799 Issued in AL
Practice address
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone
(205) 939-3699
Fax
(205) 939-0989
NPI assigned
Jan 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA.799 AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636

Mailing address

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone (205) 939-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000370 AL Practitioner - Physician Assistant 7113184797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills Physican Acute Care Services, LLCGroup PAC ID 2961866991, 13 clinicians

Practice addresses (Care Compare)

1850 Shug Jordan Pkwy
Suite 101
Auburn, AL 36830-3084
Phone (334) 209-1117

764 E Glenn Ave
Auburn, AL 36830-5017
Phone (334) 209-1117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
799ALMDClinical Psychologist
PA.799ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Twilight After Hours Urgent Care LLC Current Accepting new patients
Stopwatch Urgent Care Centers LLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

151 N 20th St
Opelika, AL 36801
Phone (334) 203-1777

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1881965887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-939-3699",
            "fax_number": "205-939-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-939-3699",
            "fax_number": "205-939-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.