Individual provider Active NPI

Madilynn Ann Perrigo, PA-C

  • Physician Assistant
  • Oak Ridge, TN
National Provider Identifier
1619753803
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C08939 Issued in MD
Practice address
800 Oak Ridge Tpke Ste A101
Oak Ridge, TN 37830-6958
Phone
(865) 483-1093
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C08939 MD Primary
Physician Assistant 363A00000X TN

Addresses

Primary practice location

800 Oak Ridge Tpke Ste A101
Oak Ridge, TN 37830-6958

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-6108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231004003863 TN Practitioner - Physician Assistant 1052766482 Reassigns benefits to 1 organization
I20250328001261 MD Practitioner - Physician Assistant 1052766482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C08939MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Urology Associates, PLLC CurrentSince Sep 5, 2023 Accepting new patients
Tennessee Urology Associates, PLLC CurrentSince Sep 5, 2023 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2025 Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

800 Oak Ridge Tpke
Ste A101
Oak Ridge, TN 37830
Phone (865) 483-1093

Interoperability endpoints

  • Direct secure messaging: mperrigo1268559@direct.hopkinsmedicine.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1619753803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE STE A101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306958",
            "telephone_number": "865-483-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-6108",
            "fax_number": "410-614-8096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRIGO",
        "first_name": "MADILYNN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08939",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.