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JOHN PELLERIN
NPI 1003492984
Physician Assistant - Medical in Birmingham, AL

Active since March 22, 2021PECOS Enrolled
833 SAINT VINCENTS DR STE 403, BIRMINGHAM, AL 35205(205) 939-0447 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Mar 22, 2021 (2 updates tracked since 2021).

About John Pellerin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN PELLERIN (NPI 1003492984) is an individual medical provider in Birmingham, Alabama, licensed in Alabama (PA.1772) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003492984
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN PELLERIN
Location Address833 SAINT VINCENTS DR STE 403Birmingham, AL 35205-1614
Mailing Address833 Saint Vincents Dr Ste 403Birmingham, AL 35205-1614 · (205) 939-0447
Phone(205) 939-0447
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1003492984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AL · PA.1772
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
833 SAINT VINCENTS DR STE 403, Birmingham, AL 35205
Open in Google Maps ↗

Other Identifiers 1

OtherPA.1772AL · Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Pellerin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services70 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services63 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOMAS KUPRYS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
833 SAINT VINCENTS DR STE 403
BIRMINGHAM, AL 35205
Jefferson County (205) 939-0447
MICHAEL EWING MD
Orthopaedic Surgery
833 SAINT VINCENTS DR STE 403
BIRMINGHAM, AL 35205
Jefferson County (205) 939-0447
MRS. LANA LYNN LACY LPN/CFA
Specialist/Technologist, Other (Surgical Assistant)
833 SAINT VINCENTS DR STE 403
BIRMINGHAM, AL 35205
Jefferson County (205) 939-0447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Pellerin's NPI number?

The NPI number for John Pellerin is 1003492984. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is John Pellerin located?

John Pellerin practices at 833 Saint Vincents Dr Ste 403, Birmingham, AL 35205. The listed phone number is (205) 939-0447.

What is John Pellerin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Pellerin enrolled in Medicare?

Yes. John Pellerin is registered in the Medicare PECOS enrollment system.

What insurance does John Pellerin accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John Pellerin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Pellerin was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.