Active NPI
Perry S Damian, MD
- Family Medicine Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 64917
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Family Medicine | Current | Accepting new patients |
| Friend Family Health Center, Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Friend Family Health Center Inc | Current | 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 | Current | 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
- 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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Family Medicine
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1578560090
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Primary Care Riverwood Family Medicine
- Family Medicine Physician
- Gastonia, NC
- NPI 1851555734
-
dba Friend Health - Gresham
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1477175305
-
- Community Health Worker
- Chicago, IL
- NPI 1215394895
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.