Individual provider Active NPI

Hayda Torres Perdue, M.D

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Clinton, MD
National Provider Identifier
1245630730
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
D90307 Issued in MD
Practice address
7503 Surratts Rd
Clinton, MD 20735-3358
Phone
(301) 868-8000
NPI assigned
Sep 3, 2014
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 32328R PR
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 080488 GA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X D90307 MD Primary

Addresses

Primary practice location

7503 Surratts Rd
Clinton, MD 20735-3358

Mailing address

805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340

Other practice location 1

3780 Eisenhower Pkwy
Macon, GA 31206
Phone (478) 633-5550

Other practice location 2

3780 Eisenhower Pkwy
Macon, GA 31206
Phone (478) 633-5550

Other practice location 3

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3585

Other names 1

  • Hayda Torres Salinas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hperdue343409@directwellstar.org

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
I20221122000940 GA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9739425547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
San Juan Bautista School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steward Center for Palliative CareGroup PAC ID 5597795161, 8 clinicians

Practice addresses (Care Compare)

1352 Eisenhower Dr
Savannah, GA 31406-3902
Phone (912) 355-2289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32328RPRMDInternal Medicine Physician
080488GAMDHospice and Palliative Medicine (Internal Medicine) Physician
D90307MDMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, PSC PastSince Sep 1, 2017 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Shelbyville Physical Therapy & Spine Care Center, P.S.C. PastSince Jul 1, 2015 Accepting new patients
Health Services of Central Georgia, Inc PastSince Aug 1, 2013 Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1245630730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS ROAD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "301-868-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3780 Eisenhower Pkwy",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31206",
            "country_code": "US",
            "telephone_number": "478-633-5550",
            "fax_number": "478-784-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 Eisenhower Pkwy",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31206",
            "country_code": "US",
            "telephone_number": "478-633-5550",
            "fax_number": "478-784-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Austell Rd",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "30106",
            "country_code": "US",
            "telephone_number": "770-732-3585",
            "fax_number": "770-732-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "HAYDA",
        "middle_name": "TORRES",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "32328R",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "080488",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D90307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hperdue343409@directwellstar.org",
            "affiliation": "N",
            "address_1": "3950 Austell Rd",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301061121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAYDA",
            "last_name": "TORRES SALINAS",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.