MR. JERRY LYLE STARR PA-C
NPI 1194706358
Physician Assistant - Surgical in Fort Moore, GA
About Mr. Jerry Lyle Starr Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRY LYLE STARR PA-C (NPI 1194706358) is an individual surgical provider in Fort Moore, Georgia and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jerry Lyle Starr Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MOORE, GA 31905
FORT BENNING, GA 31905
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 Jerry Starr's NPI number?
The NPI number for Jerry Starr is 1194706358. It was assigned to this individual provider in the NPPES registry on November 7, 2005.
Where is Jerry Starr located?
Jerry Starr practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-1374.
What is Jerry Starr's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jerry Starr enrolled in Medicare?
Yes. Jerry Starr is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jerry Starr was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Jerry Lyle Starr, PA-C · NPI 1194706358
Surgical physician in Fort Moore, Georgia. Individual provider, active in the CMS NPPES registry since November 7, 2005.
## Identity
- **NPI:** 1194706358 (Entity type: Individual)
- **Enumerated:** November 7, 2005
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 6600 VAN AALST BLVD, Fort Moore, GA 31905-2102
- **Phone:** (762) 408-1374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194706358) · Data from the CMS NPPES public registry.