Active NPI
Neville G Pereyo, M.D.
- Specialist
- Stockbridge, GA
National Provider Identifier
1649276064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036429
- Practice address
- 210 Village Center Pkwy
Stockbridge, GA 30281-9044 - Phone
- (770) 474-5952
- Fax
- (770) 474-1300
- NPI assigned
- Jun 21, 2005
- Last updated
- Apr 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036429 | GA | Primary |
Addresses
Primary practice location
210 Village Center Pkwy
Stockbridge, GA 30281-9044
Mailing address
210 Village Center Pkwy
Stockbridge, GA 30281-9044
Phone (770) 474-5952
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G31129 | Other | GA | COVENTRY |
| 596060 | Other | GA | BLUE CROSS BLUE SHIELD GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Ponce School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Village Ctr Pkwy
Stockbridge, GA 30281-9044
Phone (770) 474-5952
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.61 of 100
- Quality
- 89.22
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 32 |
| Removal of skin lesions | 2507 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 449 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology & Skin Surgery Center, P.C. | Specialist | Current | Accepting new patients |
Locations
210 Village Center Pkwy
Stockbridge, GA 30281
Phone (770) 474-5952
Organizations & group practices 1
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.
-
- Specialist
- Stockbridge, GA
- NPI 1598964348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1649276064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819044",
"telephone_number": "770-474-5952",
"fax_number": "770-474-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819044",
"telephone_number": "770-474-5952",
"fax_number": "770-474-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREYO",
"first_name": "NEVILLE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "036429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "G31129",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD GA",
"identifier": "596060",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.