Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Destiny Perry Mathis

Individual provider Registered Nurse · NPI 1609452630

Destiny Perry Mathis is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2022, 4 years ago. Practices with Jackson Hospital and Clinic, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2021
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Practice location Address checks out

1725 Pine St
Montgomery, AL 36106-1109
Phone: (334) 293-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1-169725 (AL)

Record details

NPI number1609452630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2021
Last updated in NPPESMarch 21, 2021
Certification dateMarch 21, 2021
Mailing address1725 Pine St, Montgomery, AL 36106-1109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jackson Hospital And Clinic, Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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