JOHN LEE PETTRY IDC
NPI 1932318797
Military Health Care Provider - Independent Duty Corpsman in Kings Bay, GA

Q: What is John Pettry's NPI number?

The NPI number for John Pettry is 1932318797. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is John Pettry's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for John Pettry was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 21, 2007

881 USS JAMES MADISON ROAD, BRANCH HEALTH CLINIC KINGS BAY, KINGS BAY, GA 31547(912) 573-2938 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Lee Pettry Idc NPPES

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

JOHN LEE PETTRY IDC (NPI 1932318797) is an individual independent duty corpsman provider in Kings Bay, Georgia and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1932318797

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJOHN LEE PETTRYCredential: IDC

Location Address881 USS JAMES MADISON ROAD, BRANCH HEALTH CLINIC KINGS BAYKings Bay, GA 31547-2531

Mailing Address881 Uss James Madison Road, Branch Health Clinic Kings BayKings Bay, GA 31547-2531 · (912) 573-2938

Phone(912) 573-2938

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateOctober 8, 2010

✔ NPI 1932318797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

881 USS JAMES MADISON ROAD, Kings Bay, GA 31547

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Other Providers at the Same Location NPPES 2

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

CARY GRINOLD FNP,CDE

Nurse Practitioner (Family)

881 USS JAMES MADISON ROAD, NAVAL AMBULATORY CARE CENTER
KINGS BAY, GA 31547

Camden County (912) 573-6583

DR. BHUPENDRA KUMAR GUPTA MD

Preventive Medicine (Occupational Medicine)

881 USS JAMES MADISON ROAD
KINGS BAY, GA 31547

Camden County (912) 573-6450

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 Pettry's NPI number?

The NPI number for John Pettry is 1932318797. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is John Pettry located?

John Pettry practices at 881 Uss James Madison Road Branch Health Clinic Kings Bay, Kings Bay, GA 31547. The listed phone number is (912) 573-2938.

What is John Pettry's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for John Pettry was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.