Individual provider Active NPI

Howard J Perofsky, M D

  • Plastic and Reconstructive Surgery Physician
  • Macon, GA
National Provider Identifier
1013918457
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
032452 Issued in GA
Practice address
682 Hemlock St
Suite 230
Macon, GA 31201-6883
Phone
(478) 742-4847
Fax
(478) 742-5442
NPI assigned
Aug 9, 2005
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 032452 GA Primary

Addresses

Primary practice location

682 Hemlock St
Suite 230
Macon, GA 31201-6883

Mailing address

682 Hemlock St
Suite 230
Macon, GA 31201-6883
Phone (478) 742-4847

Other identifiers 9

IdentifierTypeStateIssuer
581859020OtherGAAETNA HEALTH PLANS
581859020OtherGACIGNA
319715MedicaidGA
581859020OtherGAGEORGIA BLUE SHIELD
581859020OtherGATRICARE/CHAMPUS
240002535OtherGARETIRED RAILROAD MEDICARE
000410473AMedicaidGA
581859020OtherGAHUMANA
581859020OtherGAUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000017 GA Practitioner - Plastic and Reconstructive Surgery 1850432436 Practice locations: Macon, GA; Warner Robins, GA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Columbia University College of Physicians and Surgeons, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 Tommy Stalnaker Dr a
Warner Robins, GA 31088-8983
Phone (478) 742-4847

682 Hemlock St
Suite 230
Macon, GA 31201-8315
Phone (478) 742-4847

682 Hemlock Street
Suite 230
Macon, GA 31201-8315

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy21
Melanoma (skin cancer) excision72
Removal of tissue242
Removal of skin lesions12
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032452GAMDPlastic and Reconstructive Surgery Physician

Interoperability endpoints

  • Direct secure messaging: howard.perofsky@hpmd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFAFAA/Endpoint/AFAFAA

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1013918457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 230",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016883",
            "telephone_number": "478-742-4847",
            "fax_number": "478-742-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 230",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016883",
            "telephone_number": "478-742-4847",
            "fax_number": "478-742-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROFSKY",
        "first_name": "HOWARD",
        "middle_name": "J",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "032452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "581859020",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "581859020",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319715",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BLUE SHIELD",
            "identifier": "581859020",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "581859020",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "240002535",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000410473A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "581859020",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "581859020",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.