MRS. DEBORAH TERRY (PA-C) – Physician Assistant, NPI 1740283357

MRS. DEBORAH TERRY (PA-C) is a healthcare provider. based in Jellico, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 180 (TN). The NPI Number for MRS. DEBORAH TERRY (PA-C) is 1740283357

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEBORAH TERRY (PA-C)
NPI
1740283357
Phone
(423) 784-8492
Address
PO BOX 540
Enumeration Date
27 May 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
3173589843
Group Practice PAC ID
7214990746
Professional Enrollment ID
I20041203000816
Address ID
TN377620000JEPOXXXBOXX205
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for MRS. DEBORAH TERRY (PA-C)

  • PO BOX 540

    JELLICO, TN 377620540

    Phone: (423) 784-8492

    Fax: (423) 784-8358

    Type: Mailing

  • 5663 HIGHWAY 90

    CLAIRFIELD, TN 377153632

    Phone: (423) 784-6135

    Fax: (423) 784-8615

    Type: Location

  • 402 Cumberland Ave

    Williamsburg, KY 407691238

    Phone: (423) 784-5771

    Type: Location

  • 550 Sunset Trl

    Jellico, TN 377622343

    Phone: (423) 784-5771

    Type: Location

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: 2004-12-03

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
I20041203000816IPhysician AssistantTNTBD

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
81002Urinalysis, manual test1414$0
View full utilization report →

Insurance plans in this area (ZIP 37762)

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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: 7214990746View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTN
Physician AssistantTN
R H E U M A T O L O G YKY
Physician AssistantKY
Physician AssistantTN
Nurse PractitionerKY
Physician AssistantKY
-TN
Clinical Social WorkerNY
Physician AssistantTN

Reviews

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Frequently asked questions

Is MRS. DEBORAH TERRY (PA-C) listed with a National Provider Identifier?
Yes — MRS. DEBORAH TERRY (PA-C) has NPI 1740283357 on file in the registry.
Is there an active status for MRS. DEBORAH TERRY (PA-C)?
For scheduling context, MRS. DEBORAH TERRY (PA-C) is shown as active in the registry.
How would a patient describe MRS. DEBORAH TERRY (PA-C)'s focus?
For MRS. DEBORAH TERRY (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. DEBORAH TERRY (PA-C)?
Travel planning: use Jellico, Tennessee as the reference point for MRS. DEBORAH TERRY (PA-C), then confirm.
Can I trust this NPI listing for MRS. DEBORAH TERRY (PA-C)?
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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