Active NPI
Joseph Perry, MD
- Family Medicine Physician
- Indian Trail, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9701541
- Practice address
- 6030 W Highway 74
Suite a
Indian Trail, NC 28079-3468 - Phone
- (704) 246-2777
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9701541 | NC | Primary |
Addresses
Primary practice location
6030 W Highway 74
Suite a
Indian Trail, NC 28079-3468
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
7810 Providence Rd
Suite 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Other practice location 2
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Other practice location 3
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Other practice location 4
10210 Couloak Dr
Suite E
Charlotte, NC 28216-7679
Phone (704) 801-2000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 W Park Dr
Suite B
North Wilkesboro, NC 28659-3563
Phone (336) 903-6840
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9701541 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients |
Locations
1225 Harding Pl
Ste 5200
Charlotte, NC 28204
Phone (704) 355-4178
910 Worth St
Mount Airy, NC 27030
Phone (336) 786-5108
1534 W D St
North Wilkesboro, NC 28659
Phone (336) 667-4178
1900 W Park Dr
Ste B
North Wilkesboro, NC 28659
Phone (336) 903-6840
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
1930 N Peace Haven Rd
Winston Salem, NC 27106
Phone (336) 760-5400
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1871674481
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1861580870
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1548220726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6030 W HIGHWAY 74",
"address_2": "SUITE A",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793468",
"telephone_number": "704-246-2777"
}
],
"practiceLocations": [
{
"address_1": "7810 Providence Rd",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "STE 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10210 Couloak Dr",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282167679",
"country_code": "US",
"telephone_number": "704-801-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9701541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Trail, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.