MR. JUSTIN MICHAEL PERRY – Registered Nurse, NPI 1649812462

MR. JUSTIN MICHAEL PERRY is a healthcare provider. based in Mccalla, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-161966 (AL). The NPI Number for MR. JUSTIN MICHAEL PERRY is 1649812462

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUSTIN MICHAEL PERRY
NPI
1649812462
Phone
(205) 381-2558
Address
12695 Browne Way
Enumeration Date
14 October 2019
Last Update Date
14 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2052147546
Graduation Year
2021 (5 years ago)
PAC ID
2163876509
Group Practice PAC ID
5193979839
Professional Enrollment ID
I20231003003718
Address ID
AL352442111HO2279XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MR. JUSTIN MICHAEL PERRY

  • 12695 Browne Way

    McCalla, AL 35111

    Phone: (205) 381-2558

    Type: Location

  • UAB Hospital, 1802, 6th Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 35233

    Phone: (205) 381-2558

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $3,425.

Total Amount is formed as General ($1,887) + Research ($1,538) + Ownership ($0) = $3,425.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,930).

Total Amount

$3,425

General + Research + Ownership

Payments

91

Total payment records

General Amount

$1,887

General payments

Research Amount

$1,538

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231003003718INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35111)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193979839View full group profile
NameSpecialtyState
D E R M A T O L O G YAL
Physician AssistantAL
D E R M A T O L O G YAL
Dermatology, Internal MedicineAZ
Physician AssistantAL
Dermatology, Micrographic Dermatologic Surgery (Mds)CO

Reviews

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Frequently asked questions

How do payers reference MR. JUSTIN MICHAEL PERRY?
For MR. JUSTIN MICHAEL PERRY, use NPI 1649812462 as the unique 10-digit identifier.
Would MR. JUSTIN MICHAEL PERRY appear as active to a payer?
You can treat MR. JUSTIN MICHAEL PERRY as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. JUSTIN MICHAEL PERRY?
MR. JUSTIN MICHAEL PERRY is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
Where in Alabama is MR. JUSTIN MICHAEL PERRY registered?
Use Mccalla, Alabama as the headline location for MR. JUSTIN MICHAEL PERRY here.
Can I trust this NPI listing for MR. JUSTIN MICHAEL PERRY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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