Marcelo R. Perez-Montes, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2005-00424 Issued in NC

Practice address

100 Ironcreek PL
Apex, NC 27539-7772

Phone

(252) 422-8499

Fax

(919) 267-9486

NPI assigned

May 23, 2005

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22360/brand/1/csg/1/fhir/r4

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.

• Hometown Medical PLLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1639777378
  Medicare reassignment NPD
• Marcelo R Perez-Montes MD PA

  dba PrimeCare Medical Clinic

  • General Practice Physician
  • Morehead City, NC
  • NPI 1508036096
  NPD (past) Authorized official
• Premise Health of North Carolina Medical, P.C

  dba Goodlife Health Center

  • General Practice Physician
  • Fayetteville, NC
  • NPI 1023430113
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1386647576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 IRONCREEK PL",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397772",
            "telephone_number": "252-422-8499",
            "fax_number": "919-267-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 IRONCREEK PL",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397772",
            "telephone_number": "252-422-8499",
            "fax_number": "919-267-9486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Stamper Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034163",
            "country_code": "US",
            "telephone_number": "910-309-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-MONTES",
        "first_name": "MARCELO",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NC",
            "license": "2005-00424",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "OK",
            "license": "20419",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "071721",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "071721",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "20419",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2005-00424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Pearlstein
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• Lisa Pegram
• Keshia Lori Peloubet, M.S., LPC
• Erica Driscoll Penny, NCLCMHCA
• Marisol Perez
• Performance Family Chiropractic PLLC (Performance Family Chiropractic)
• Colleen Casselton Perry, M.S., CCC-SLP
• Keara Perry
• Monica McAdoo Perry, M.S., P.T.

• General Practice Physician in Apex, NC
• Providers in Apex, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.