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GEORGE LYCURGLUS PETTY M.D.
NPI 1831536333
Family Medicine - Adult Medicine in Meridian, MS

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
1314 19TH AVE, MERIDIAN, MS 39301(205) 270-9467 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2018, Apr 24, 2018, Mar 1, 2016 (3 updates tracked since 2016).

About George Lycurglus Petty M.d. NPPES

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

GEORGE LYCURGLUS PETTY M.D. (NPI 1831536333) is an individual adult medicine provider in Meridian, Mississippi, licensed in Alabama (MD.34536) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tuscaloosa, and is a graduate of University Of South Alabama College Of Medicine (2013).

NPPES Registry Identity

NPI1831536333
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameGEORGE LYCURGLUS PETTYCredential: M.D.
Location Address1314 19TH AVEMeridian, MS 39301
Mailing Address1901 5th Ave E Unit 1113Tuscaloosa, AL 35401-3868 · (205) 270-9467 · Fax (205) 348-5294
Phone(205) 270-9467
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2013
Enumeration DateMay 24, 2013
Last NPPES UpdateAugust 24, 20183 updates tracked since enumeration
✔ NPI 1831536333 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 · MD.34536
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 24118 (MS)
1314 19TH AVE, Meridian, MS 39301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1850 5th Ave ETuscaloosa, AL 35401-7419 · Phone (205) 348-1770 · Fax (205) 348-5294

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

George Lycurglus Petty M.d. 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 ID1052544673
PECOS Enrollment IDI20180711001448
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

5

Medicare enrollment records show George Petty reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Relias Emergency Medicine Specialists Of Northport, LLC
89 mi
Emergency Medicine
2700 HOSPITAL DR
Northport, AL 35476
  • Reassigned Medicare billing, Alabama enrollment
  • 118 clinicians in this Medicare group
NPI 1699261149 (662) 432-4106
Relias Emergency Medicine Specialists Of Regional, LLC
89 mi
Emergency Medicine
809 UNIVERSITY BLVD E
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 124 clinicians in this Medicare group
NPI 1619463163 (662) 432-4106
Southeast Physician Network, P.C.
90 mi
Hematology & Oncology
1410 MCFARLAND BLVD N
Tuscaloosa, AL 35406
  • Reassigned Medicare billing, Alabama enrollment
  • 55 clinicians in this Medicare group
NPI 1598090839 (205) 345-8208
Sycamore Lakeland LLC
144 mi
Emergency Medicine
42024 AL-195
Haleyville, AL 35565
  • Reassigned Medicare billing, Alabama enrollment
  • 40 clinicians in this Medicare group
NPI 1184472789 (205) 486-5213
Sycamore Physicians LLC
162 mi
Emergency Medicine
702 N MAIN ST
Opp, AL 36467
  • Reassigned Medicare billing, Alabama enrollment
  • 22 clinicians in this Medicare group
NPI 1780372557 (334) 493-3541

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 4

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 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.
201 services189 patients
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.
118 services106 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39301 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

CHARANDLE S JORDAN MD
Hospitalist
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (601) 483-0011
RUSH CARE, INC.
Long Term Care Hospital
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (601) 703-4211
LELAND LOU MD
Anesthesiology (Pain Medicine)
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (601) 703-4362
CHRISTOPHER W SWIFT D.O.
Internal Medicine (Critical Care Medicine)
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (601) 703-4078
CHAD E. BRASHER OT
Occupational Therapist
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (601) 703-4240
JOSEPH B. WILLIAMS PT
Physical Therapist
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (601) 703-4240
JUANTINA JOHNSON MD LLC
Internal Medicine (Pulmonary Disease)
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (877) 953-4864
DR. JAMES A. SNYDER D.O.
Family Medicine
1314 19TH AVE
MERIDIAN, MS 39301
Lauderdale County (601) 703-9260

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 George Petty's NPI number?

The NPI number for George Petty is 1831536333. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is George Petty located?

George Petty practices at 1314 19th Ave, Meridian, MS 39301. The listed phone number is (205) 270-9467.

What is George Petty's specialty?

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

Is George Petty enrolled in Medicare?

Yes. George Petty 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 George Petty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Petty reassigns Medicare benefits to 5 organizations: Relias Emergency Medicine Specialists Of Northport, LLC (Northport, AL), Relias Emergency Medicine Specialists Of Regional, LLC (Tuscaloosa, AL), Southeast Physician Network, P.C. (Tuscaloosa, AL), Sycamore Lakeland LLC (Haleyville, AL) and Sycamore Physicians LLC (Opp, AL). 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 George Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does George Petty accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list George Petty 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 George Petty was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.