Individual provider Active NPI

Perry S Damian, MD

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1255513529
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64917 Issued in GA
Practice address
110 Oak Hill Blvd Ste 200
Newnan, GA 30265-2313
Phone
(770) 304-0987
NPI assigned
Nov 28, 2007
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71895 MN
Family Medicine Physician 207Q00000X 64917 GA Primary

Addresses

Primary practice location

110 Oak Hill Blvd Ste 200
Newnan, GA 30265-2313

Mailing address

110 Oak Hill Blvd Ste 200
Newnan, GA 30265-2313

Other practice location 1

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (651) 439-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101115000862 GA Practitioner - Family Practice 5496825382 Reassigns benefits to 2 organizations
I20161216000973 IL Practitioner - Family Practice 5496825382 Reassigns benefits to 1 organization
I20181116000260 NC Practitioner - Family Practice 5496825382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone (770) 304-0987

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Feb 3, 2026 Accepting new patients
Friend Family Health Center, Inc CurrentSince Dec 21, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 26, 2019 Accepting new patients
Friend Family Health Center Inc CurrentSince Dec 21, 2016 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Friend Family Health Center Inc Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Jun 26, 2019 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0353

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

4525 Cameron Valley Pkwy
Ste 3100
Charlotte, NC 28211
Phone (704) 302-8375

3715 Union Rd
Gastonia, NC 28056
Phone (704) 854-8202

332 N Trade St
Matthews, NC 28105
Phone (704) 302-8500

332 N Trade St
Ste 2000
Matthews, NC 28105
Phone (704) 302-8500

1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700

Interoperability endpoints

  • Direct secure messaging: pdamian468292@direct.gundersenhealth.org

Organizations & group practices 9

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 2

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1255513529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OAK HILL BLVD STE 200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OAK HILL BLVD STE 200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652313",
            "telephone_number": "770-304-0987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Curve Crest Blvd W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826040",
            "country_code": "US",
            "telephone_number": "651-439-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMIAN",
        "first_name": "PERRY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "71895",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.