NPIMap

Individual provider Active NPI

John Fitzgerald Perrin, M.D.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1124204151
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2008-00794 Issued in NC
Practice address
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone
(704) 377-2424
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 001331 GA
Emergency Medicine Physician 207P00000X 2008-00794 NC Primary

Addresses

Primary practice location

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035

Mailing address

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone (704) 377-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000207 NC Practitioner - Emergency Medicine 1951473289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Emory University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Emergency Medical Associates PLLCGroup PAC ID 4880686823, 100 clinicians

Practice addresses (Care Compare)

8201 Health Loop
Charlotte, NC 28215-7072
Phone (704) 384-4000

Hospital & facility affiliations

  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.02
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
85.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.97 of 100Reported as group
Quality
79.68
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001331GAMDOptometrist
794NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mema SC LLC Emergency Medicine CurrentSince Oct 13, 2024 Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Caldwell Emergency Medical Associates LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Davidson County, PLLC Emergency Medicine Past Accepting new patients

Locations

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

501 S Sharon Amity Rd
Ste 300
Charlotte, NC 28211
Phone (704) 319-5821

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

171 Fairview Rd
Mooresville, NC 28117
Phone (704) 660-4000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

Interoperability endpoints

  • Direct secure messaging: jperrin285491@direct.unc.nchie.net

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.

Hospital & facility affiliations 7

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1124204151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SHARON AMITY RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282110035",
            "telephone_number": "704-377-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHARON AMITY RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282110035",
            "telephone_number": "704-377-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "JOHN",
        "middle_name": "FITZGERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "001331",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2008-00794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.