Individual provider Active NPI

Philip Alton Berry, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Roswell, GA
National Provider Identifier
1497916753
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
72184 Issued in GA
Practice address
675 Mansell Rd Ste 115
Roswell, GA 30076-4877
Phone
(404) 482-3366
Fax
(562) 261-1048
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 72184 GA Primary

Addresses

Primary practice location

675 Mansell Rd Ste 115
Roswell, GA 30076-4877

Mailing address

675 Mansell Rd Ste 115
Roswell, GA 30076-4877
Phone (404) 482-3366

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72184GAMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: philipberry@lmg.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1497916753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MANSELL RD STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764877",
            "telephone_number": "404-482-3366",
            "fax_number": "562-261-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MANSELL RD STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764877",
            "telephone_number": "404-482-3366",
            "fax_number": "562-261-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "PHILIP",
        "middle_name": "ALTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "72184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.