Terry Matthew James, MD - Medicare Family Medicine in Addison, AL

Terry Matthew James, MD is a medicare enrolled "Family Medicine" physician in Addison, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2006 and has 13 years of diverse experience with area of expertise as Family Medicine. He is a member of the group practice James Enterprises, Llc and his current practice location is 16356 County Road 41, Addison, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 747-1186.

Terry Matthew James is licensed to practice in Alabama (license number 28387) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225250640.

Contact Information

Terry Matthew James, MD
16356 County Road 41,
Addison, AL 35540-2416
(256) 747-1186
(256) 747-1196

Map and Direction




Physician's Profile

Full NameTerry Matthew James
GenderMale
SpecialityFamily Medicine
Experience13 Years
Location16356 County Road 41, Addison, Alabama
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Terry Matthew James attended and graduated from University Of Alabama School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1225250640
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 07/27/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7214013259
  • Enrollment ID: I20080401000039

Medical Identifiers

Medical identifiers for Terry Matthew James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225250640NPI-NPPES
102I080435OtherALMEDICARE
E869OtherALMEDICARE GROUP
P00733325OtherALMEDICARE RR
111855MedicaidAL
1225250640OtherALUNITED HEALTH CARE
1598717381OtherALMEDICAID PAYEE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine L-2816 (Alabama)Secondary
207Q00000XFamily Medicine 28387 (Alabama)Primary

Hospital Affiliation

Hospital NameLocationType
Cullman Regional Medical CenterCullman, ALAcute Care Hospital
Walker Baptist Medical CenterJasper, ALAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
James Enterprises, Llc16585559332

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Terry Matthew James allows following entities to bill medicare on his behalf.
Entity NameJames Enterprises, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760785406
PECOS PAC ID: 1658555933
Enrollment ID: O20110411000708

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terry Matthew James is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Terry Matthew James, MD
16356 County Road 41,
Addison, AL 35540-2416

Ph: (256) 747-1186
Terry Matthew James, MD
16356 County Road 41,
Addison, AL 35540-2416

Ph: (256) 747-1186

Reviews and Comments

Family Medicine Doctors in Addison, AL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.