Todd A. Perla, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME65271 Issued in FL

Practice address

194 SW Wall Terrace
Origins Family Medicine and Weight Loss
Lake City, FL 32025

Phone

(386) 719-9227

NPI assigned

Aug 1, 2006

Last updated

Jun 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SG Medical Professional PCGroup PAC ID 9133646953, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• SG Medical Professional PC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1457085615

  FL

  Medicare reassignment Care Compare group
• Cassidy Health and Wellness LLC

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1184203721

  Family Medicine

  Medicare reassignment NPD
• Hma/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Vero Beach, FL
  • NPI 1689812109
  Medicare reassignment NPD
• Origins Family Medical & Weight Loss Clinic Inc

  • General Practice Physician
  • Lake City, FL
  • NPI 1962835306
  Medicare reassignment NPD
• Shands/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Gainesville, FL
  • NPI 1558595223
  Medicare reassignment NPD
• Solantic of Jacksonville, LLC

  dba CareSpot Express Healthcare

  • Urgent Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1407893100

  Family Medicine

  Medicare reassignment NPD
• Solantic/South Florida, LLC

  dba CareSpot Express Healthcare

  • Urgent Care Clinic/Center
  • Coral Springs, FL
  • NPI 1851344378
  Medicare reassignment NPD
• Allergy Sinus & Asthma Specialty Care

  • Specialist
  • Lake City, FL
  • NPI 1164550059
  NPD (past)
• Emergency Physicians Inc

  dba Emergency Resources Group

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1285686675
  NPD (past)
• North Florida Emergency Physicians

  • Emergency Medicine Physician
  • Lake City, FL
  • NPI 1538251186
  NPD (past)
• Shands at Lake Shore Inc

  dba Lake Shore Orthopedic Specialists

  • Clinic/Center
  • Lake City, FL
  • NPI 1497854186
  NPD (past)
• Emergency Physicians Inc

  dba Emergency Resource Group

  • Emergency Medicine Physician
  • Brunswick, GA
  • NPI 1477001972
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1235146408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 NW LAKE VALLEY TER",
            "address_2": "254 NW LAKE VALLEY TERRACE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558523",
            "telephone_number": "386-754-9515",
            "fax_number": "352-265-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 SW WALL TERRACE",
            "address_2": "ORIGINS FAMILY MEDICINE AND WEIGHT LOSS",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-719-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLA",
        "first_name": "TODD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272819200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Campbell Peoples
• Sharon Moss Pepper, R.D.H.
• Frank Akwasi Peprah-Asante, PHARMACIST
• Jennifer Percell, LMT
• Von Katherine Perez, PHARMD
• Casey Marie Perry
• Danielle Marche Perry, APRN
• Destini Chantrelle Perry
• Kathneicela Perry
• Malina Danyelle Perry

• Family Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.