Individual provider Active NPI

Cary Cunningham Perry, M.D.

  • Gynecology Physician
  • Athens, GA
National Provider Identifier
1639168644
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
038332 Issued in GA
Practice address
1270 Prince Ave
Suite 201
Athens, GA 30606-2762
Phone
(706) 548-1388
Fax
(706) 354-1818
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 038332 GA Primary

Addresses

Primary practice location

1270 Prince Ave
Suite 201
Athens, GA 30606-2762

Mailing address

1270 Prince Ave
Suite 201
Athens, GA 30606-2762
Phone (706) 548-1388

Other identifiers 1

IdentifierTypeStateIssuer
00700532AMedicaidGA

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
I20100916000906 GA Practitioner - Obstetrics/Gynecology 3375668155 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038332GAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University System of Georgia CurrentSince Sep 1, 2022 Accepting new patients
Board of Regents of the University System of Georgia Current Accepting new patients
Board of Regents of the University System of Georgia CurrentSince Sep 1, 2022 Accepting new patients
University Health Center, University of Ga Health Center Pharmacy Past Accepting new patients

Locations

110 Carlton St
Athens, GA 30602
Phone (706) 542-4598

55 Carlton St
Athens, GA 30602
Phone (706) 542-2273

Organizations & group practices 4

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1639168644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE",
            "address_2": "SUITE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062762",
            "telephone_number": "706-548-1388",
            "fax_number": "706-354-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE",
            "address_2": "SUITE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062762",
            "telephone_number": "706-548-1388",
            "fax_number": "706-354-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CARY",
        "middle_name": "CUNNINGHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "038332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00700532A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.