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

Q: 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.

Q: What is George Petty's specialty?

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

Q: 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 7 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.

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: August 09, 2026.

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

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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

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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 Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, 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 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.

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