John Edward Perry III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L1430 Issued in TX

Practice address

3500 W Davis St
Suite 220
Conroe, TX 77304-1849

Phone

(936) 760-1691

Fax

(936) 760-1693

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jep Cardiology Associates

  dba Lakeside Medical Clinc

  • Cardiovascular Disease Physician
  • Conroe, TX
  • NPI 1043317514
  NPD (past) Authorized official
• Elite Care Medical Services Inc

  • Family Medicine Physician
  • Houston, TX
  • NPI 1740298868
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649389446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N SUMMER CLOUD DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816225",
            "telephone_number": "832-656-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W DAVIS ST",
            "address_2": "SUITE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041849",
            "telephone_number": "936-760-1691",
            "fax_number": "936-760-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1430",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L1430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "L1430",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Perez, LPC
• Kenneth Mack Perkins, DC
• Patricia Ann Perkins, APRN-CNM
• Perri Dermatology, PLLC Inc
• Anthony Joseph Perri III, MD
• Mark Phillip Peters, D.D.S.
• Janet M Peterson, PH.D
• Kendall Peterson
• Rajeev S. Pethe, M.D.
• Kathleen M Petrak, LPC

• Internal Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.