Active NPI
Perry B Wells, M.D.
- Specialist
- Macon, GA
National Provider Identifier
1427120690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20498
- Practice address
- 540 Charter Blvd
Macon, GA 31210-4892 - Phone
- (478) 477-3500
- Fax
- (478) 477-3511
- NPI assigned
- Nov 14, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20498 | GA | Primary |
Addresses
Primary practice location
540 Charter Blvd
Macon, GA 31210-4892
Mailing address
PO Box 26040
Macon, GA 31221-6040
Phone (478) 475-1299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20498 | Other | GA | GA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20498 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upson Family Physicians, LC | Past | Accepting new patients | |
| Augusta Primary Care Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1952565210
-
- Family Medicine Physician
- Thomaston, GA
- NPI 1083842918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1427120690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26040",
"city": "MACON",
"state": "GA",
"postal_code": "312216040",
"telephone_number": "478-475-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 CHARTER BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312104892",
"telephone_number": "478-477-3500",
"fax_number": "478-477-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "PERRY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "20498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA MEDICAL LICENSE",
"identifier": "20498",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.