Individual provider Active NPI

Michael F Perry, MD FACOG

  • Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1588761449
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
046900 Issued in GA
Practice address
842 North Highland Ave NE
Suite 250
Atlanta, GA 30306
Phone
(404) 685-8867
Fax
(404) 685-8137
NPI assigned
Sep 20, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 046900 GA
Gynecology Physician 207VG0400X 046900 GA Primary

Addresses

Primary practice location

842 North Highland Ave NE
Suite 250
Atlanta, GA 30306

Mailing address

842 North Highland Ave NE
Suite 250
Atlanta, GA 30306
Phone (404) 685-8867

Other identifiers 1

IdentifierTypeStateIssuer
00912964AMedicaidGA

Other names 1

  • Michael F Perry Professional name

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
I20040115001103 GA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 0345141040 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2016 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2016 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Health System, Inc. Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Atlanta Midtown Gynecology 2 LLC Past Accepting new patients
TLC for Women Past Accepting new patients
Atlanta Midtown Gynecology, Inc Specialist PastSince Sep 1, 2008 Accepting new patients

Locations

285 Boulevard NE
Ste 520
Atlanta, GA 30312
Phone (404) 265-2800

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

1791 Mulkey Rd
Ste 200
Austell, GA 30106
Phone (770) 732-5400

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5445 Meridian Mark Rd
Ste 350
Sandy Springs, GA 30342
Phone (404) 252-5196

582 Concord Rd SE
Ste A
Smyrna, GA 30082
Phone (770) 432-0191

Interoperability endpoints

  • Direct secure messaging: michael.perry.p49@direct.tenet.nextgenshare.com
  • Direct secure messaging: mperry147920@directwellstar.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1588761449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 NORTH HIGHLAND AVE NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-685-8867",
            "fax_number": "404-685-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 NORTH HIGHLAND AVE NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-685-8867",
            "fax_number": "404-685-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD FACOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "046900",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "046900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00912964A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "PERRY",
            "middle_name": "F",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.