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Deactivated NPI 1851399877 Deactivated / Inactive NPI Male Practitioner

Dr. Jack R Perry , MD

Internal Medicine • Jasper, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Perry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Perry, MD was a registered Internal Medicine practicing in Jasper, AL. Throughout an active medical career spanning 1 years, Dr. Perry provided care at the practice location at WALKER BAPTIST HOSPITAL until profile deactivation on 2006-03-16.

Historical Medicare Part B clinical services included initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

Walker Baptist Hospital
3400 Hwy 78 E

Jasper, AL 35501

Telephone 2053874000
Associated Practice Facility / Clinic
🏢 Jasper Anesthesia Care, Inc Facility NPI 1053372227

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jasper, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.1 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Jasper, AL (1784 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
80 79 $280.00 $162.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
62 32 $100.00 $74.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
26 18 $150.00 $112.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036.138175

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License KY 34733

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License IL 036.138175

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64347339 (KY)
Commercial Insurance / Payer ID Medicare Railroad
P01183981 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Zachary Alexander , LPTA

Physical Therapist

NPI 1073468757

Licensed Physical Therapist Assistant

Mohammed Sharif

Internal Medicine

NPI 1104321082
Dr. Allen Sanyi , DO

Internal Medicine

NPI 1114556271

Doctor of Osteopathic Medicine (D.O.)

Emily Carroll , PA-C

Physician Assistant

NPI 1174701684

Physician Assistant (Certified)

Dr. Erin Howell , PT, DPT

Physical Therapist

NPI 1194670844

Physical Therapist, Doctor of Physical Therapy

Tin Pham

Internal Medicine

NPI 1225664121

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 07, 2019

Registered at WALKER BAPTIST HOSPITAL, 3400 HWY 78 E, JASPER, AL 35501 (Tel: 2053874000)

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Updated Business Mailing Address March 07, 2019

Registered at WALKER BAPTIST HOSPITAL, 3400 HWY 78 E, JASPER, AL 35501 (Tel: 2053874000)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2019

Internal Medicine (License #34733 in KY)

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Updated Practice Location August 04, 2015

Registered at 695 N KELLOGG ST, GALESBURG, IL 614012807 (Tel: 3093454586)

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Updated Business Mailing Address August 04, 2015

Registered at 695 N KELLOGG ST, GALESBURG, IL 614012807 (Tel: 3093454586)

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Provider Name / Credentials Updated August 04, 2015

Recorded as JACK PERRY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2015

Internal Medicine (License #036.138175 in IL)

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NPI Profile Reactivated March 22, 2006

Record officially reactivated for active practice on March 22, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851399877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: March 07, 2019
Deactivation Date: March 16, 2006
Sole Proprietor: Yes

Mailing Address

Walker Baptist Hospital, 3400 Hwy 78 E

Jasper, AL 35501

Phone: 2053874000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.