Individual provider Active NPI

Everett Leland Perry, M.D.

  • Anesthesiology Physician
  • Athens, GA
National Provider Identifier
1386616209
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
056872 Issued in GA
Practice address
1230 Baxter St
Athens, GA 30606-3712
Phone
(706) 389-3000
NPI assigned
Feb 3, 2006
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 056872 GA Primary
Aerospace Medicine Physician 2083A0100X 056872 GA

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606-3712

Mailing address

3036 Oconee Springs Dr
Statham, GA 30666-3642
Phone (706) 206-8392

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
I20110701000071 GA Practitioner - Anesthesiology 1557549078 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of AthensGroup PAC ID 2567459902, 55 clinicians
Vituity-Georgia Anesthesia PCGroup PAC ID 6901331339, 24 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 543-3449

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

651 S Milledge Ave
Athens, GA 30605-1250
Phone (706) 543-3449

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan County Georgia Hospital Authority Current Accepting new patients
St. Mary's Good Samaritan Hospital, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Vituity-Georgia Anesthesia PC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Anesthesia Consultants of Athens Anesthesiology CurrentSince Jul 1, 2011 Accepting new patients
Vituity-Georgia Anesthesia PC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Cobb Enterprises LLC CurrentSince Jan 30, 2019 Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437

651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290

5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

1077 S Main St
Madison, GA 30650
Phone (706) 342-0449

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

Interoperability endpoints

  • Direct secure messaging: eperry2018636@direct.trinity-health.org
  • Direct secure messaging: everettperry@mmc.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Center for Rehabilitative Medicine at St. Mary'sAthens, GA, CCN 11T006 Hospital Corporate Director
W-2 Managing Employee
Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1386616209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 OCONEE SPRINGS DR",
            "city": "STATHAM",
            "state": "GA",
            "postal_code": "306663642",
            "telephone_number": "706-206-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-389-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "EVERETT",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "056872",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "056872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.