Individual provider Active NPI

Warren Maurice Perry II, M.D.

  • Dermatology Physician
  • Lombard, IL
National Provider Identifier
1063850006
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-178208 Issued in IL
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

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220002083 GA Practitioner - Emergency Medicine 8820309065 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1.055474CTMDEmergency Medicine Physician
83338GAMDEmergency Medicine Physician
2017-01385NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Emory Medical Care Foundation Inc Emergency Medicine Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Nov 21, 2019 Accepting new patients
The Emory Clinic Inc CurrentSince Nov 21, 2019 Accepting new patients
Emory Medical Care Foundation Emergency Medicine CurrentSince Nov 21, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.