John Theodore Perry III, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

027241 Issued in GA

Practice address

711 Canton Rd NE Ste 220
Marietta, GA 30060-8949

Phone

(404) 554-2196

Fax

(404) 554-2415

NPI assigned

Oct 18, 2006

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, OH2 enrollments

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 2

Specialty

Vascular Surgery

Education

Medical College of Georgia School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Vascular Services NortheastGroup PAC ID 3577815695, 11 clinicians

Preferred Vascular Services Cleveland LLCGroup PAC ID 5991046369, 7 clinicians

Preferred Vascular Services SouthwestGroup PAC ID 0446502918, 13 clinicians

Preferred Vascular Services Northwest LLCGroup PAC ID 1850552142, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

86.97

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

98.33 of 100Reported as group

Quality

76.66

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: northwestatlantavascularcare.johnperry@142085.advancedmd-direct.com
• Direct secure messaging: preferredmedicalgroup.johnperry@121186.advancedmd-direct.com

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.

• Preferred Vascular Services Northeast

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1780184218
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Northwest, LLC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1598037822
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Southwest

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1790285229
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Cleveland LLC

  dba Preferred Vascular Services Cleveland

  • Vascular Surgery Physician
  • Beachwood, OH
  • NPI 1346734365
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Macon LLC

  • Vascular Surgery Physician
  • Macon, GA
  • NPI 1437659455
  Medicare reassignment NPD
• Preferred Vascular Services Southeast LLC

  • Vascular Surgery Physician
  • Lithonia, GA
  • NPI 1861992976
  Medicare reassignment NPD
• Macon Vascular Care, LLC

  • Ambulatory Surgical Clinic/Center
  • Macon, GA
  • NPI 1841711942
  Medicare reassignment
• Cartersville Surgical Associates, P.C.

  • Specialist
  • Cartersville, GA
  • NPI 1508088949
  NPD (past) Authorized official
• Preferred Vascular Services Cleveland West, LLC

  • Vascular Surgery Physician
  • Westlake, OH
  • NPI 1942987920
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1578644258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 CORSEA DEL FONTANA WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094397",
            "telephone_number": "404-554-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE STE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608949",
            "telephone_number": "404-554-2196",
            "fax_number": "404-554-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JOHN",
        "middle_name": "THEODORE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "027421",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "027421",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "027241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Belle Perlow, DDS
• Kara Pernice, RN, IBCLC
• Mariana J. Perosino, DC
• Adam Perry, M.D.
• Demesha S Perry, PHARM.D.
• Kayla Perry, RDN, LD
• Samantha Nikole Perry
• Jessica Persaud, RBT
• Personal Injury MD LLC
• Personal Recovery Network LLC (The Anxiety & Stress Management Institute)

• Vascular Surgery Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.