Timothy B. Perry

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1441 Boxwood Blvd
Columbus, GA 31906-2700

Phone

(706) 561-5535

NPI assigned

Jul 25, 2018

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Horizons CSB Journey to Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, GA
  • NPI 1972729259
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1154808715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BOXWOOD BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062700",
            "telephone_number": "706-561-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BOXWOOD BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062700",
            "telephone_number": "706-561-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "TIMOTHY",
        "middle_name": "B.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conchetta Perry, N.P.
• Earnestine Perry
• Mary Jane Perry
• Nicholas Perry
• Terilyn Cassandra Perry, M.D.
• Brenda Perryman, MHC
• Hugh Bryant Perryman, SLP
• Jade Perryman, RBT
• Morius Perryman
• Persistent Home Health

• Peer Specialist in Columbus, GA
• Providers in Columbus, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.