Raymond Ross Perez
Individual provider Active NPI Family Medicine Physician · Locust, NC
NPI 1356575005 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1356575005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2018-02220 (NC)
- Practice address
- 236 Market St Ste 110
Locust, NC 28097-1312 - Phone
- (704) 384-9590
- NPI assigned
- May 11, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Comprehab, Inc
Practice addresses (Care Compare)
236 Market St
Suite 110
Locust, NC 28097-9439
Phone (704) 384-9590
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
335 N Caswell Rd
Charlotte, NC 28204-2470
Phone (704) 384-9475
Hospital & facility affiliations
- Novant Health Mint Hill Medical Center
- Novant Health Presbyterian Medical Center
- Novant Health Rowan Medical Center
- Novant Health Matthews Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190129003033 | NC | Practitioner - Family Practice | 1951540962 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02220 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680
8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040
7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
236 Market St
Ste 110
Locust, NC 28097
Phone (704) 384-9590
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- rperez670476@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2018-02220 | NC | Yes |
Addresses
Primary practice location
236 Market St Ste 110
Locust, NC 28097-1312
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268
Other practice location 1
1885 Bay Rd
E Palo Alto, CA 94303-1312
Phone (650) 330-7400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rperez670476@direct.novanthealth.org |
Other providers in Locust, NC
- North Carolina Rural Health Clinic PC
- North Carolina Rural Health Clinic PC
- Novant Health Medical Group, LLC
- Kristopher Oliver
- Katherine Lanore Oreilly
- Samantha Faye Phillips
- Purple Squirrel LLC
- Amanda Tucker Queen
- Valery Esmeralda Reyes
- Robert Lee Seymour
All providers in Locust, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.