Patricia T. Perry, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002293 Issued in GA

Practice address

1336 Highway 54 W
BLDG 500
Fayetteville, GA 30214-4535

Phone

(770) 461-1238

Fax

(770) 460-6610

NPI assigned

Feb 23, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Gwinnett Sports Medicine & Orthopaedic Surgery PC

  dba Atlanta Center for Athletes

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Duluth, GA
  • NPI 1710071931
  NPD (past)
• Resurgens, LLC

  dba Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1386697928
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1568438216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W",
            "address_2": "BLDG 500",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144535",
            "telephone_number": "770-461-1238",
            "fax_number": "770-460-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W",
            "address_2": "BLDG 500",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144535",
            "telephone_number": "770-461-1238",
            "fax_number": "770-460-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "PATRICIA",
        "middle_name": "T.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Jose Perez Gonzalez, DMD
• Christopher Perez, MD
• Laura Sarai Perez, FNP-C
• Ramona Jean Perkins, LPC
• Justice Malee Perry, BA
• Rachael Gabri Peterson, PA-C
• David Shane Petrie, DDS
• Janine Nicole Pettiford, M.D.
• Shalonda B Pettis, PA-C
• Charles William Pettus, MD

• Physician Assistant in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.