Individual provider Active NPI

Neville G Pereyo, M.D.

  • Specialist
  • Stockbridge, GA
National Provider Identifier
1649276064
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036429 Issued in GA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G31129OtherGACOVENTRY
596060OtherGABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000750 GA Practitioner - Dermatology 5991606733 Reassigns benefits to 1 organization

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
Dermatology and Skin Surgery Center. P.C.Group PAC ID 5193625945, 10 clinicians

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 100Reported as group
Quality
89.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision32
Removal of skin lesions2507
Removal of nail tissue1-10
Skin biopsy449

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Surgery Center, P.C. Specialist CurrentSince Jul 1, 1996 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.

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

Verify at the official NPI Registry.