Michelle Lynn Perdue, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN076576 Issued in GA

Practice address

122 Gordon Commercial Dr Ste D
Lagrange, GA 30240-5754

Phone

(706) 845-4054

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1154903276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MT LAUREL",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318224513",
            "telephone_number": "706-302-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR STE D",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405754",
            "telephone_number": "706-845-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN076576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Immediate Care FP, LLC
• Peachtree Nursing & Rehabilitation LLC
• Scott Pearson, PA-C
• Pediatric Associates of Lagrange
• Beth Ann Pendergraph, P.A.
• Carly Perez
• Lucy Marlena Perkerson, RN
• Drayton Thomas Perkins, PT, DPT
• Robyn Perkins
• Nancy H Perry, CFNP

• Licensed Practical Nurse in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.