Individual provider Active NPI

Jerry D Pierce, M.D.

  • Obstetrics & Gynecology Physician
  • Scottsboro, AL
National Provider Identifier
1922086453
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13423 Issued in AL
Practice address
408 Taylor St
Scottsboro, AL 35768-2424
Phone
(256) 259-5211
Fax
(256) 259-6641
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13423 AL Primary

Addresses

Primary practice location

408 Taylor St
Scottsboro, AL 35768-2424

Mailing address

408 Taylor St
Scottsboro, AL 35768-2424
Phone (256) 259-5211

Other identifiers 1

IdentifierTypeStateIssuer
009965350MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110527000299 AL Practitioner - Obstetrics/Gynecology 8729025531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Professional ServicesGroup PAC ID 0648666198, 20 clinicians

Practice addresses (Care Compare)

408 Taylor St
Scottsboro, AL 35768-2424
Phone (256) 259-5211

Hospital & facility affiliations

  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (2 of 8)

OrganizationSpecialtyStatusNew patients
Highlands Professional Services Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
HH Health System - Jackson LLC Past Accepting new patients

Locations

408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01C0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0

Interoperability endpoints

  • Direct secure messaging: jerry.pierce.1@29332.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1922086453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682424",
            "telephone_number": "256-259-5211",
            "fax_number": "256-259-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682424",
            "telephone_number": "256-259-5211",
            "fax_number": "256-259-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "13423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009965350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.