Active NPI
Chad A Perry, PA C
- Medical Physician Assistant
- Macon, GA
National Provider Identifier
1508980947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4573
- Practice address
- 308 Coliseum Dr
Suite 200
Macon, GA 31217-3876 - Phone
- (478) 742-2180
- Fax
- (478) 745-2623
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4573 | GA | Primary |
Addresses
Primary practice location
308 Coliseum Dr
Suite 200
Macon, GA 31217-3876
Mailing address
308 Coliseum Dr
Suite 200
Macon, GA 31217-3876
Phone (478) 742-2180
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Lee St
Forsyth, GA 31029-2122
Phone (229) 271-4652
308 Coliseum Dr
Macon, GA 31217-3861
Phone (478) 742-2180
910 N 5TH St
Cordele, GA 31015-3254
Phone (229) 271-4652
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4573 | GA | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Macon, GA
- NPI 1346351582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1508980947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 COLISEUM DR",
"address_2": "SUITE 200",
"city": "MACON",
"state": "GA",
"postal_code": "312173876",
"telephone_number": "478-742-2180",
"fax_number": "478-745-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 COLISEUM DR",
"address_2": "SUITE 200",
"city": "MACON",
"state": "GA",
"postal_code": "312173876",
"telephone_number": "478-742-2180",
"fax_number": "478-745-2623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "CHAD",
"middle_name": "A",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "4573",
"primary": true
}
],
"identifiers": [],
"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 May 19, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.