Active NPI
Isaac Ezra Perry, D.O.
- Gastroenterology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- DO.2806
- Practice address
- 1120 15TH St
Augusta, GA 30912-5502 - Phone
- (706) 721-8623
- Fax
- (706) 721-1459
- NPI assigned
- Mar 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2806 | AL | |
| Gastroenterology Physician | 207RG0100X | DO.2806 | AL | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-5502
Mailing address
1808 7TH Ave S
Birmingham, AL 35233-1912
Phone (205) 934-4744
Other practice location 1
519 Stephenson Ave
Savannah, GA 31405-5969
Phone (912) 354-9447
Other practice location 2
619 19th St S
Birmingham, AL 35233-1900
Phone (205) 996-4744
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iperry@direct.uabmedicine.org | Direct | University of Alabama Hospital |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210127000636 | GA | Practitioner - Internal Medicine | 4486948536 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Cedar St
Metter, GA 30439-3338
Phone (912) 685-5741
400 Cedar St
Metter, GA 30439-3706
Phone (912) 685-5741
519 Stephenson Ave
Savannah, GA 31405-5969
Phone 9123549447654
Hospital & facility affiliations
- Candler Hospital
- St Joseph'S Hospital - Savannah
- Beaufort County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 95 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2806 | AL | MD | Addiction (Substance Use Disorder) Counselor |
| 8664 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Endoscopy Center of Coastal Georgia, LLC | Current | Accepting new patients | |
| Gastroenterology Consultants of Savannah, PC | Current | Accepting new patients | |
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Hospital Authority of Candler County | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
637 S Lewis St
Metter, GA 30439
Phone (912) 685-1800
400 Cedar St
Metter, GA 30439
Phone (912) 685-1726
101 Saint Josephs Candler Dr
Ste 310
Pooler, GA 31322
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
519 Stephenson Ave
Savannah, GA 31405
Interoperability endpoints
- iperry@direct.uabmedicine.org
Organizations & group practices 8
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Metter, GA
- NPI 1588868947
GA
-
- Ambulatory Surgical Clinic/Center
- Savannah, GA
- NPI 1821106923
GA
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Primary Care Clinic/Center
- Pulaski, GA
- NPI 1316523707
-
- Critical Access Hospital
- Metter, GA
- NPI 1790888089
-
- Rural Health Clinic/Center
- Metter, GA
- NPI 1831728005
Hospital & facility affiliations 3
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": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1134581911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331912",
"telephone_number": "205-934-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309125502",
"telephone_number": "706-721-8623",
"fax_number": "706-721-1459"
}
],
"practiceLocations": [
{
"address_1": "519 Stephenson Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314055969",
"country_code": "US",
"telephone_number": "912-354-9447",
"fax_number": "912-354-9458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331900",
"country_code": "US",
"telephone_number": "205-996-4744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "ISAAC",
"middle_name": "EZRA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2023-06-30",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "2806",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "DO.2806",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iperry@direct.uabmedicine.org",
"affiliation": "Y",
"affiliationName": "University of Alabama Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "619 19th St S",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352331900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.