GEORGE VERNON III PEGRAM (M.D.) – Obstetrics & Gynecology Physician, NPI 1699888008

GEORGE VERNON III PEGRAM (M.D.) is a healthcare provider. based in Decatur, Alabama. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 21971 (AL). The NPI Number for GEORGE VERNON III PEGRAM (M.D.) is 1699888008

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE VERNON III PEGRAM (M.D.)
NPI
1699888008
Phone
(256) 351-7309
Address
1107 14th Avenue SE
Enumeration Date
17 August 2006
Last Update Date
22 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2563559216
Graduation Year
1993 (33 years ago)
PAC ID
9032267851
Group Practice PAC ID
3971828278
Professional Enrollment ID
I20090506000050
Address ID
AL356014316DE1304XSEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

587 OBSTETRICS/GYNECOLOGY in AL

Provider Addresses for GEORGE VERNON III PEGRAM (M.D.)

  • 1107 14th Avenue SE

    Suite 320

    Decatur, AL 35601

    Phone: (256) 351-7309

    Fax: (256) 351-7448

    Type: Location

  • Sweetwater Hospital, 304, Wright Street, Sweetwater, Monroe County, Tennessee, 37874, United States

    SWEETWATER, TN 378741181

    Phone: (865) 213-8401

    Fax: (865) 213-8596

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,168.

Total Amount is formed as General ($1,168) + Research ($0) + Ownership ($0) = $1,168.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($208).

Total Amount

$1,168

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2009-05-06

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
I20090506000050IObstetrics/GynecologyALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2121$0
99213Established patient office or other outpatient visit, 20-29 minutes2014$0
View full utilization report →

Insurance plans in this area (ZIP 35601)

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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: 3971828278View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAL
-AL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
Nurse PractitionerAL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify GEORGE VERNON III PEGRAM (M.D.) for billing?
Administrative and clinical systems typically use NPI 1699888008 for GEORGE VERNON III PEGRAM (M.D.).
Does the public listing show GEORGE VERNON III PEGRAM (M.D.) as active?
GEORGE VERNON III PEGRAM (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits GEORGE VERNON III PEGRAM (M.D.)?
NPPES ties GEORGE VERNON III PEGRAM (M.D.) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to GEORGE VERNON III PEGRAM (M.D.)?
GEORGE VERNON III PEGRAM (M.D.) shows a connection to Decatur, Alabama in registry-derived data.
Who maintains GEORGE VERNON III PEGRAM (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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