Individual provider Active NPI

John William Perry, M.D.

  • Vascular Surgery Physician
  • Gainesville, GA
National Provider Identifier
1306379813
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
49923 Issued in GA
Practice address
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone
(678) 207-4000
Fax
(770) 531-2435
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 49923 GA Primary

Addresses

Primary practice location

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834

Mailing address

PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122

Other practice location 1

1270 Friendship Rd
Braselton, GA 30517-5608
Phone (678) 207-4000

Other practice location 2

495 Highway 400
Dahlonega, GA 30533-6823
Phone (678) 207-4000

Other practice location 3

316 N Broad St
Winder, GA 30680-2150
Phone (678) 207-4000

Other practice location 4

1120 Peachtree Industrial Blvd
Suwanee, GA 30024-2322
Phone (678) 207-4602

Other practice location 5

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 207-4000

Other practice location 6

801 Austin Dr
Demorest, GA 30535-4513
Phone (678) 207-4000

Other practice location 7

835 Austin Dr
Demorest, GA 30535-4513
Phone (678) 207-4000

Other practice location 8

541 Historic Hwy 441-N
Demorest, GA 30535-0037
Phone (678) 207-4000

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
I20220720004034 GA Practitioner - Vascular Surgery 7416227731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Longstreet Clinic, PCGroup PAC ID 2668465733, 140 clinicians
Northeast Georgia Community Physicians LLCGroup PAC ID 3274010582, 129 clinicians

Practice addresses (Care Compare)

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
87.6
Promoting interoperability
100
Improvement activities
40
Cost
76.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion22
Varicose vein removal12
Leg revascularization (restoring blood flow)11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49923GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Longstreet Clinic PC CurrentSince Jul 1, 2022 Accepting new patients
The Longstreet Clinic, PC CurrentSince Jul 1, 2022 Accepting new patients
Northeast Georgia Community Physicians LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200

495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107

801 Austin Dr
Demorest, GA 30535
Phone (706) 754-8066

835 Austin Dr
Demorest, GA 30535
Phone (706) 754-8518

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200

6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880

1120 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (678) 207-4620

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Organizations & group practices 4

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 4

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1306379813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305030658",
            "telephone_number": "770-718-1122",
            "fax_number": "770-533-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013834",
            "telephone_number": "678-207-4000",
            "fax_number": "770-531-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Friendship Rd",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175608",
            "country_code": "US",
            "telephone_number": "678-207-4000",
            "fax_number": "678-207-4071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Highway 400",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305336823",
            "country_code": "US",
            "telephone_number": "678-207-4000",
            "fax_number": "770-531-2435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306802150",
            "country_code": "US",
            "telephone_number": "678-207-4000",
            "fax_number": "770-531-2435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Peachtree Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300242322",
            "country_code": "US",
            "telephone_number": "678-207-4602",
            "fax_number": "678-207-4307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300975775",
            "country_code": "US",
            "telephone_number": "678-207-4000",
            "fax_number": "770-531-2435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Austin Dr",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354513",
            "country_code": "US",
            "telephone_number": "678-207-4000",
            "fax_number": "770-531-2435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Austin Dr",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354513",
            "country_code": "US",
            "telephone_number": "678-207-4000",
            "fax_number": "770-531-2435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Historic Hwy 441-N",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305350037",
            "country_code": "US",
            "telephone_number": "678-207-4000",
            "fax_number": "770-531-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "49923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.