Individual provider Active NPI

Carla Bumanglag Perry, APRN

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1265940936
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1167732 Issued in TX
Practice address
6202 Harry Hines Blvd
Dallas, TX 75235
Phone
(214) 645-8300
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1167732 TX
Nurse Practitioner 363L00000X 1167732 TX Primary

Addresses

Primary practice location

6202 Harry Hines Blvd
Dallas, TX 75235

Mailing address

6202 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 645-8300

Other practice location 1

631 Professional Dr Ste 450
Lawrenceville, GA 30046-3370
Phone (770) 963-8030

Other practice location 2

1600 Coit Rd Ste 408
Plano, TX 75075-6173
Phone (214) 379-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181109002463 GA Practitioner - Nurse Practitioner 3678827698 Reassigns benefits to 1 organization
I20240730002809 TX Practitioner - Nurse Practitioner 3678827698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-5555

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1167732TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 17, 2025 Accepting new patients
Northside Hospital, Inc. CurrentSince Aug 29, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 17, 2025 Accepting new patients
Oncology Hematology Consultants, PA CurrentSince Jul 18, 2024 Accepting new patients
Gwinnett Medical Group, Inc Current Accepting new patients
Oncology-Hematology Consultants PA CurrentSince Jul 18, 2024 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Feb 23, 2025 Accepting new patients

Locations

2098 Teron Trce
Ste 400
Dacula, GA 30019
Phone (678) 312-6800

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

631 Professional Dr
Ste 450
Lawrenceville, GA 30046
Phone (770) 963-8030

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

6202 Harry Hines Blvd
Dallas, TX 75390
Phone (214) 590-2218

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

7415 Las Colinas Blvd
Irving, TX 75063
Phone (248) 760-3339

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1600 Coit Rd
Ste 408
Plano, TX 75075
Phone (972) 492-3587

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1265940936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-645-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-645-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Professional Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463370",
            "country_code": "US",
            "telephone_number": "770-963-8030",
            "fax_number": "770-339-9577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Coit Rd Ste 408",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756173",
            "country_code": "US",
            "telephone_number": "214-379-2700",
            "fax_number": "972-869-3875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CARLA",
        "middle_name": "BUMANGLAG",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167732",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1167732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.