Active NPI
Jerry D Pierce, M.D.
- Obstetrics & Gynecology Physician
- Scottsboro, AL
National Provider Identifier
1922086453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 13423
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009965350 | Medicaid | AL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
Practice addresses (Care Compare)
408 Taylor St
Scottsboro, AL 35768-2424
Phone (256) 259-5211
Hospital & facility affiliations
- Highlands Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Professional Services | Obstetrics & Gynecology | Current | 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
- 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.
-
- Specialist
- Scottsboro, AL
- NPI 1750041786
AL, Obstetrics & Gynecology
-
- General Acute Care Hospital
- Scottsboro, AL
- NPI 1699444976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.