Individual provider Active NPI

Joseph Richard Perez, D.O.

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1194703595
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
58809 Issued in GA
Practice address
755 Walther Rd
Lawrenceville, GA 30046-8725
Phone
(770) 962-0399
Fax
(770) 995-0533
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 58809 GA Primary

Addresses

Primary practice location

755 Walther Rd
Lawrenceville, GA 30046-8725

Mailing address

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone (770) 962-0399

Other practice location 1

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone (770) 962-0399

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000331 GA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2668444233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside CV Professional Services LLCGroup PAC ID 4880003771, 53 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1132 Athens Hwy
Suite 207
Grayson, GA 30017-1760
Phone (678) 389-4147

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2357

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

3855 Pleasant Hill Rd
Suite 250
Duluth, GA 30096-8093
Phone (770) 858-1658

4365 Johns Creek Pkwy
Suite 450
Suwanee, GA 30024-6089
Phone (770) 661-0336

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone (678) 272-3648

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

Merit-based Incentive Payment System (MIPS)

Final score
76.66 of 100Reported as group
Quality
58.46
Promoting interoperability
83
Improvement activities
40
Cost
77.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. CurrentSince Mar 1, 2008 Accepting new patients
Northside CV Professional Services LLC Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
Gwinnett Medical Group, Inc Internal Medicine Current Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Northside Hospital, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Northside Hospital, Inc. CurrentSince Mar 1, 2008 Accepting new patients
Memorial Hospitalist Inc PastSince Sep 20, 2020 Accepting new patients

Locations

3855 Pleasant Hill Rd
Ste 250
Duluth, GA 30096
Phone (770) 497-1413

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (706) 543-3200

1132 Athens Hwy
Ste 207
Grayson, GA 30017
Phone (678) 312-0300

755 Walther Rd
Lawrenceville, GA 30046

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

2200 Medical Center Blvd
Ste 400
Lawrenceville, GA 30046
Phone (678) 272-3699

1608 Tree Ln
Bldg C
Snellville, GA 30078
Phone (678) 344-4472

4365 Johns Creek Pkwy
Ste 450
Suwanee, GA 30024
Phone (678) 417-9873

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.

Hospital & facility affiliations 5

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1194703595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468725",
            "telephone_number": "770-962-0399",
            "fax_number": "770-995-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468725",
            "telephone_number": "770-962-0399",
            "fax_number": "770-995-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Walther Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468725",
            "country_code": "US",
            "telephone_number": "770-962-0399",
            "fax_number": "678-252-3722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "58809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.