Active NPI
Warren Maurice Perry II, M.D.
- Dermatology Physician
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036-178208
- Practice address
- 2830 S Highland Ave Ste C
Lombard, IL 60148-7135 - Phone
- (630) 932-2099
- Fax
- (630) 932-9815
- NPI assigned
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 83338 | GA | |
| Dermatology Physician | 207N00000X | 036-178208 | IL | Primary |
| Emergency Medicine Physician | 207P00000X | 1.055474 | CT | |
| Emergency Medicine Physician | 207P00000X | 2017-01385 | NC |
Addresses
Primary practice location
2830 S Highland Ave Ste C
Lombard, IL 60148-7135
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
1364 Clifton Rd NE
Atlanta, GA 30322-4700
Phone (404) 712-5227
Other practice location 2
365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711
Other practice location 3
170 Manning Dr
CB 7594
Chapel Hill, NC 27599-7594
Phone (203) 785-2353
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wperry379408@dulyhealthandcare.direct-ci.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.055474 | CT | MD | Emergency Medicine Physician |
| 83338 | GA | MD | Emergency Medicine Physician |
| 2017-01385 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Emergency Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation | Emergency Medicine | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
Interoperability endpoints
- wperry20078@direct.emory.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
Emergency Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1982860490
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1063850006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 S HIGHLAND AVE STE C",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601487135",
"telephone_number": "630-932-2099",
"fax_number": "630-932-9815"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303224700",
"country_code": "US",
"telephone_number": "404-712-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 Montauk Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204700",
"country_code": "US",
"telephone_number": "860-442-0711",
"fax_number": "203-688-9638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 Manning Dr",
"address_2": "CB 7594",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997594",
"country_code": "US",
"telephone_number": "203-785-2353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "WARREN",
"middle_name": "MAURICE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-12",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "83338",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036-178208",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "1.055474",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2017-01385",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wperry379408@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2830 S Highland Ave Ste C",
"city": "Lombard",
"state": "IL",
"country_code": "US",
"postal_code": "601487135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.