Active NPI
Terilyn Cassandra Perry, M.D.
- Pediatrics Physician
- Columbus, GA
National Provider Identifier
1700868221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35974
- Practice address
- 3655 Gurley Dr Ste B
Columbus, GA 31904-6886 - Phone
- (706) 660-1200
- Fax
- (706) 660-0060
- NPI assigned
- Nov 18, 2005
- Last updated
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35974 | GA | Primary |
Addresses
Primary practice location
3655 Gurley Dr Ste B
Columbus, GA 31904-6886
Mailing address
PO Box 1140
Columbus, GA 31902-1140
Phone (706) 660-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000511684A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35974 | GA | MD | Pediatrics Physician |
Interoperability endpoints
- terilyn.perry.1@16947.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1700868221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1140",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319021140",
"telephone_number": "706-660-1200",
"fax_number": "706-660-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 GURLEY DR STE B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046886",
"telephone_number": "706-660-1200",
"fax_number": "706-660-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "TERILYN",
"middle_name": "CASSANDRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "35974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000511684A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.