Individual provider Active NPI

Perry R Hearn, MD

  • Addiction Medicine (Family Medicine) Physician
  • Athens, GA
National Provider Identifier
1568412146
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
028997 Issued in GA
Practice address
775 Sunset Dr
Athens, GA 30606
Phone
(706) 425-1500
NPI assigned
May 12, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 028997 GA
Family Medicine Physician 207Q00000X 058279 MA
Addiction Medicine (Family Medicine) Physician 207QA0401X 028997 GA Primary
Hospitalist Physician 208M00000X 028997 GA

Addresses

Primary practice location

775 Sunset Dr
Athens, GA 30606

Mailing address

PO Box 597
Watkinsville, GA 30677-0015
Phone (781) 389-3628

Other practice location 1

1030 Village Dr Ste B
Watkinsville, GA 30677-6004
Phone (706) 769-6122

Other identifiers 1

IdentifierTypeStateIssuer
3025161MedicaidMA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120802000398 GA Practitioner - Family PracticePractitioner - Addiction Medicine 2466429543 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Emory University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Emergency Medical Services Consolidated, LLCGroup PAC ID 4183871320, 48 clinicians
Southland Cochran Emergency Medical Services LLCGroup PAC ID 9638398027, 17 clinicians

Practice addresses (Care Compare)

145 E Peacock St
Cochran, GA 31014-7846
Phone (229) 200-4950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028997GAMDEmergency Medicine Physician
058279MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC Family Medicine CurrentSince Feb 5, 2018 Accepting new patients
Evirtualcare, LLC CurrentSince Mar 1, 2019 Accepting new patients
Southland Cochran Emergency Medical Services, LLC Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Sep 1, 2017 Accepting new patients
Reid Emergency Group, PC Emergency Medicine CurrentSince Jul 15, 2018 Accepting new patients
Landmark Hospital of Athens, LLC CurrentSince Jan 1, 2013 Accepting new patients
Southland Dodge Emergency Medical Services, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Care Medical LLC Hospitalist Current Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Sep 1, 2017 Accepting new patients
Perry R Hearn Family Medicine PastSince Jan 1, 1993 Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients
Southeastern Hospitalist Physicians, LLP Emergency Medicine Past Accepting new patients
Medical Care of Boston Management Corporation Past Accepting new patients

Locations

775 Sunset Dr
Athens, GA 30606
Phone (573) 331-8026

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

120 Gordon St
Washington, GA 30673
Phone (706) 678-1177

1155 Main St
Young Harris, GA 30582
Phone (706) 439-6873

3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1568412146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770015",
            "telephone_number": "781-389-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNSET DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-425-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Village Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306776004",
            "country_code": "US",
            "telephone_number": "706-769-6122",
            "fax_number": "706-769-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARN",
        "first_name": "PERRY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "028997",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "058279",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "GA",
            "license": "028997",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "028997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.