Individual provider Active NPI

Christopher Perez, MD

  • Phlebology Physician
  • Fayetteville, GA
National Provider Identifier
1215974944
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
065875 Issued in GA
Practice address
874 Lanier Ave W Ste 220
Fayetteville, GA 30214-7659
Phone
(678) 833-1444
Fax
(678) 833-1444
NPI assigned
Jun 1, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 065875 GA
Vascular Surgery Physician 2086S0129X 065875 GA
General Practice Physician 208D00000X 065875 GA
Phlebology Physician 202K00000X 065875 GA Primary

Addresses

Primary practice location

874 Lanier Ave W Ste 220
Fayetteville, GA 30214-7659

Mailing address

5578 Farmside Way Ste 300
Johns Creek, GA 30022-6353
Phone (954) 802-8835

Other practice location 1

8 E Court Sq
Newnan, GA 30263-2053
Phone (678) 833-1444

Other practice location 2

210 Executive Dr.
Carrollton, GA 30117
Phone (678) 833-1444

Other practice location 3

96 Vinings Dr
McDonough, GA 30253-5994
Phone (678) 833-1444

Other identifiers 2

IdentifierTypeStateIssuer
003191533AMedicaidGA
259774800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110606000402 GA Practitioner - Emergency MedicinePractitioner - Other (Physician) 9931005816 Reassigns benefits to 3 organizations
I20230202002149 NC Practitioner - Emergency MedicinePractitioner - Other (Physician) 9931005816

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truffles Vein of Central Georgia LLCGroup PAC ID 8527594662, 5 clinicians
Truffles Vein Center LLCGroup PAC ID 1355594797, 14 clinicians

Practice addresses (Care Compare)

5041 Dallas Hwy
Suite 107
Powder Springs, GA 30127-6458
Phone (678) 833-1444

874 Lanier Ave W
Suite 220
Fayetteville, GA 30214-7659
Phone (678) 833-1444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
065875GAMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truffles Vein of Central Georgia LLC CurrentSince Aug 1, 2024 Accepting new patients
Georgia Phlebology PC Phlebology CurrentSince Apr 25, 2011 Accepting new patients
Truffles Vein Center, LLC CurrentSince Oct 1, 2023 Accepting new patients
St. Joseph Emergency Medical Physicians PA Emergency Medicine Past Accepting new patients
Jir Financial Group Inc Past Accepting new patients
Ma Emergency Associates PL Emergency Medicine Past Accepting new patients
Skin Care Services, LLC PastSince Nov 1, 2005 Accepting new patients
Naples Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Florida Phlebology Inc Phlebology Past Accepting new patients
Janna Health Care Group LLC Past Accepting new patients
Inphynet South Broward LLC Emergency Medicine Past Accepting new patients
Missouri Phlebology Inc Phlebology Past Accepting new patients

Locations

3440 Preston Ridge Rd
Ste 410
Alpharetta, GA 30005
Phone (678) 867-7155

264 19th St NW
Ste 2240
Atlanta, GA 30363
Phone (404) 532-1564

305 Brookhaven Ave NE
Ste B1180
Brookhaven, GA 30319
Phone (404) 705-9099

874 Lanier Ave W
Ste 120
Fayetteville, GA 30214
Phone (678) 833-1444

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

771 Old Norcross Rd
Lawrenceville, GA 30046
Phone (404) 778-6590

96 Vinings Dr
McDonough, GA 30253
Phone (678) 833-1444

8 E Court Sq
Newnan, GA 30263
Phone (678) 833-1444

5041 Dallas Hwy
Ste 107
Powder Springs, GA 30127
Phone (678) 833-1444

2001 Butterfield Rd
Ste 300
Downers Grove, IL 60515
Phone (630) 725-2730

2001 Butterfield Rd
Ste 330
Downers Grove, IL 60515

2015 Spring Rd
Ste 300
Oak Brook, IL 60523

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1215974944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 FARMSIDE WAY STE 300",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226353",
            "telephone_number": "954-802-8835",
            "fax_number": "678-833-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 LANIER AVE W STE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147659",
            "telephone_number": "678-833-1444",
            "fax_number": "678-833-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 E Court Sq",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302632053",
            "country_code": "US",
            "telephone_number": "678-833-1444",
            "fax_number": "678-833-1445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Executive Dr.",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "30117",
            "country_code": "US",
            "telephone_number": "678-833-1444",
            "fax_number": "678-833-1445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Vinings Dr",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302535994",
            "country_code": "US",
            "telephone_number": "678-833-1444",
            "fax_number": "678-833-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "065875",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "065875",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "065875",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "GA",
            "license": "065875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003191533A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259774800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.