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JESSICA SWANSON GENTRY
NPI 1205566601
Family Medicine - Adult Medicine in Opelika, AL

Active since June 16, 2022PECOS EnrolledAccepts Medicare Assignment
1941 1ST AVE, OPELIKA, AL 36801(334) 745-3534(334) 745-3535 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Swanson Gentry NPPES

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

JESSICA SWANSON GENTRY (NPI 1205566601) is an individual adult medicine provider in Opelika, Alabama, licensed in Alabama (1-146272) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205566601
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameJESSICA SWANSON GENTRY
Location Address1941 1ST AVEOpelika, AL 36801-5403
Mailing Address3023 Mckinley DrOpelika, AL 36804-7666 · (334) 759-0108
Phone(334) 745-3534
Fax(334) 745-3535
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 16, 2022
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1205566601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AL · 1-146272
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License GAA-NP001527 (GA)
1941 1ST AVE, Opelika, AL 36801
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Swanson Gentry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597141762
PECOS Enrollment IDI20220926003771, I20230822001464
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jessica Gentry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hiren K Patel MD PC
Same address
Family Medicine
1941 1ST AVE
Opelika, AL 36801
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1295844355 (334) 745-3534
The East Alabama Health Care Authority
0.3 mi
General Acute Care Hospital
2000 PEPPERELL PKWY
Opelika, AL 36801
  • Reassigned Medicare billing, Alabama enrollment
  • 149 clinicians in this Medicare group
NPI 1073685483 (334) 528-1310
Peachtree Immediate Care Fp, LLC
94 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • 13 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
16 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

HIREN K PATEL MD PC
Family Medicine
1941 1ST AVE
OPELIKA, AL 36801
Lee County (334) 745-3534
MAY G DORSINVILLE CRNP
Nurse Practitioner
1941 1ST AVE
OPELIKA, AL 36801
Lee County (334) 745-3534
DR. HIREN K PATEL M.D.
Family Medicine
1941 1ST AVE
OPELIKA, AL 36801
Lee County (334) 745-3534
MR. DONALD UPTON C.R.N.P.
Nurse Practitioner
1941 1ST AVE
OPELIKA, AL 36801
Lee County (334) 745-3534

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 Jessica Gentry's NPI number?

The NPI number for Jessica Gentry is 1205566601. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Jessica Gentry located?

Jessica Gentry practices at 1941 1st Ave, Opelika, AL 36801. The listed phone number is (334) 745-3534.

What is Jessica Gentry's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Jessica Gentry enrolled in Medicare?

Yes. Jessica Gentry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Gentry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gentry reassigns Medicare benefits to 3 organizations: Hiren K Patel MD PC (Opelika, AL), The East Alabama Health Care Authority (Opelika, AL) and Peachtree Immediate Care Fp, LLC (Hiram, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Gentry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Gentry accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jessica Gentry 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 Jessica Gentry 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.