Individual provider Active NPI

Angel Luis Perez Jr., MD

  • Child & Adolescent Psychiatry Physician
  • Sandy Springs, GA
National Provider Identifier
1528246642
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
63941 Issued in GA
Practice address
5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929
Phone
(770) 255-4655
Fax
(770) 255-4586
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 63941 GA
Child & Adolescent Psychiatry Physician 2084P0804X 63941 GA Primary

Addresses

Primary practice location

5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929

Mailing address

5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929
Phone (770) 255-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63941GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Community Service Board CurrentSince Jan 8, 2013 Accepting new patients
Dekalb Community Service Board PastSince Jan 8, 2013 Accepting new patients

Locations

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

3100 Clifton Springs Rd
Decatur, GA 30034
Phone (404) 241-5032

3110 Clifton Springs Rd
Decatur, GA 30034
Phone (404) 243-9500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1528246642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR STE 230",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303289929",
            "telephone_number": "770-255-4655",
            "fax_number": "770-255-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR STE 230",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303289929",
            "telephone_number": "770-255-4655",
            "fax_number": "770-255-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "63941",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "63941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.