DR. JACK R PERRY (M.D.) – Internal Medicine Physician, NPI 1851399877

DR. JACK R PERRY (M.D.) is a healthcare provider. based in Jasper, Alabama. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 34733 (KY). The NPI Number for DR. JACK R PERRY (M.D.) is 1851399877

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK R PERRY (M.D.)
NPI
1851399877
Phone
(205) 387-4000
Address
WALKER BAPTIST HOSPITAL
Enumeration Date
13 July 2005
Deactivation Date
16 March 2006
Reactivation Date
22 March 2006
Last Update Date
7 March 2019

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
2514357289
Graduation Year
1994 (32 years ago)
PAC ID
1456258409
Group Practice PAC ID
2264727155
Professional Enrollment ID
I20081118000367
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. JACK R PERRY (M.D.)

  • First Baptist Corona Avenue Church, 27th Street East, Frisco Quarters, Jasper, Walker County, Alabama, 35501, United States

    3400 HWY 78 E

    JASPER, AL 35501

    Phone: (205) 387-4000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031217000547IInternal MedicineKYTBD
I20081118000367IInternal MedicineALTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8079$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6232$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2618$0
View full utilization report →

Insurance plans in this area (ZIP 35501)

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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: 2264727155View full group profile
NameSpecialtyState
Internal MedicineAL
Internal MedicineAL
-AL
Geriatric Medicine, Internal MedicineLA
Internal MedicineAL
Physician AssistantAL
Internal MedicineAL
Internal MedicineAL
Nurse PractitionerAL
Family PracticeMS

Reviews

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Frequently asked questions

What federal number belongs to DR. JACK R PERRY (M.D.)?
The federal identifier for DR. JACK R PERRY (M.D.) is NPI 1851399877.
Is DR. JACK R PERRY (M.D.)'s NPI currently valid?
The extract we use shows DR. JACK R PERRY (M.D.) as active.
What kind of provider is DR. JACK R PERRY (M.D.)?
The page reflects Internal Medicine Physician for DR. JACK R PERRY (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JACK R PERRY (M.D.)?
The page summarizes Jasper, Alabama for DR. JACK R PERRY (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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