Alejandro F. Pernett, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

029928 Issued in GA

Legal business name

ALEJANDRO F. PERNETT, M.D., P.C.

Practice address

9 Hester St
Hazlehurst, GA 31539-6323

Phone

(912) 379-9380

Fax

(912) 379-9382

NPI assigned

Dec 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alejandro F Pernett, M.D.

Title

Owner

Phone

(912) 379-9380

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1013190131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HESTER ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396323",
            "telephone_number": "912-379-9380",
            "fax_number": "912-379-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HESTER ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396323",
            "telephone_number": "912-379-9380",
            "fax_number": "912-379-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO F. PERNETT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "PERNETT",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-379-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "029928",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "029928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00379431Q",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "369975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "336264",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10037432",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.