Individual provider Active NPI

John Edward Perry, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1306858170
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045314 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 175
Atlanta, GA 30318-0924
Phone
(404) 607-1777
Fax
(404) 607-1799
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045314 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 175
Atlanta, GA 30318-0924

Mailing address

1800 Howell Mill Rd NW Ste 175
Atlanta, GA 30318-0924
Phone (404) 607-1777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnperry@imsapc.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045314GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Affiliates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: johnperry@imsapc.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1306858170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 175",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180924",
            "telephone_number": "404-607-1777",
            "fax_number": "404-607-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 175",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180924",
            "telephone_number": "404-607-1777",
            "fax_number": "404-607-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnperry@imsapc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1800 Howell Mill Rd NW Ste 175",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303180924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.