Russell Perry, MD, PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

RUSSELL PERRY, MD, PA

Doing business as

Family Allergy & Asthma Center

Practice address

205 N 11TH St
Beaumont, TX 77702-2213

Phone

(409) 892-7090

Fax

(409) 892-4324

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Daelyn Perry

Title

Administrative Coordinator

Phone

(409) 892-7090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Allergy & Asthma Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alison Coleman, DNP, APRN, NP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1427500115
  Medicare reassignment NPD
• Amber Nicole Dupree, MSN, NP-C

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1073955837
  Medicare reassignment NPD
• Russell Keith Perry, MD

  • Allergy & Immunology Physician
  • Beaumont, TX
  • NPI 1780770362
  Medicare reassignment NPD
• Katie Granger Swanton, PA-C

  • Medical Physician Assistant
  • Beaumont, TX
  • NPI 1952568909
  Medicare reassignment NPD
• Kelsi Vice, PA

  • Physician Assistant
  • Beaumont, TX
  • NPI 1942928270
  Medicare reassignment NPD
• William Arthur Fawcett IV, MD

  • Allergy & Immunology Physician
  • Beaumont, TX
  • NPI 1548233901
  NPD (past)
• Sherrie Elaine Gaddis, NP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1568412732
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1194125161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022213",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022213",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL PERRY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DAELYN",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "409-892-7090"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346314301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Allergy & Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruby L Holloway, M.D.P.a
• Jesus Ruiz
• Rodney W Ruppel, PHD
• Matthew Lindon Rushing, D.D.S., M.S.D.
• Robert Rushing
• RW Nursing Staffing Agency (GRW's Home Healthcare Services)
• Ashley Ryals
• Jewel Ryan
• Mary Elizabeth Ryan, PA
• S E Texas Pain Management PLLC

• Allergy & Immunology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.