NPIMap

Individual provider Active NPI

Manuel Jose Perez, M.D.

  • Urology Physician
  • Hardeeville, SC
National Provider Identifier
1083627814
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23230 Issued in SC
Practice address
300 New River Pkwy Ste 17
Hardeeville, SC 29927-4549
Phone
(843) 208-3100
NPI assigned
Aug 14, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 23230 SC Primary

Addresses

Primary practice location

300 New River Pkwy Ste 17
Hardeeville, SC 29927-4549

Mailing address

300 New River Pkwy Ste 17
Hardeeville, SC 29927-4549
Phone (843) 208-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111109000016 SC Practitioner - Urology 2365535853 Reassigns benefits to 1 organization
I20260107004427 FL Practitioner - Urology 2365535853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 New River Pkwy
Suite 17
Hardeeville, SC 29927-4549
Phone (843) 422-2597

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23230SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Urology Group Urology CurrentSince Jul 9, 2002 Accepting new patients
Santa Rosa Hma Physician Management, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

300 New River Pkwy
Ste 17
Hardeeville, SC 29927
Phone (843) 208-3100

25 Hospital Center Blvd
Ste 302
Hilton Head Island, SC 29926
Phone (843) 681-8203

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: manuel.perez.1@4692.direct.athenahealth.com
  • Direct secure messaging: mperez@tug-sc.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1083627814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY STE 17",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274549",
            "telephone_number": "843-208-3100",
            "fax_number": "843-689-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY STE 17",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274549",
            "telephone_number": "843-208-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MANUEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "23230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.