Active NPI
Michelle Yvonne Perry, M.D.
- Obstetrics & Gynecology Physician
- Saint Marys, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 53017
- Practice address
- 2060 Dan Proctor Dr
Suite 1800
Saint Marys, GA 31558-3894 - Phone
- (912) 510-7376
- Fax
- (912) 510-7377
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 53017 | GA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | MD0000036799 | TN |
Addresses
Primary practice location
2060 Dan Proctor Dr
Suite 1800
Saint Marys, GA 31558-3894
Mailing address
2060 Dan Proctor Dr
Suite 1800
Saint Marys, GA 31558-3894
Phone (912) 510-7376
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
- Obstetrics/Gynecology
- Education
- University of Tennessee, HSC, College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2060 Dan Proctor Dr
Suite 1800
Saint Marys, GA 31558-3810
2060 Dan Proctor Dr
Suite 1800
Saint Marys, GA 31558-4324
Phone (912) 510-7376
Hospital & facility affiliations
- Southeast Georgia Health System -- Camden Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53017 | GA | MD | Obstetrics & Gynecology Physician |
| MD0000036799 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women of Camden Advanced OBGYN | Obstetrics & Gynecology | Current | Accepting new patients |
| Camden OBGYN | Obstetrics & Gynecology | Current | Accepting new patients |
| Anesthesia Alliance Solutions | Past | Accepting new patients | |
| Pediatrix Medical Group of Florida Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Oasis Gynecology and Obstetrics PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients |
Locations
202 Lakeshore Dr
Ste A
Saint Marys, GA 31558
Phone (912) 510-3454
2060 Dan Proctor Dr
Ste 1800
Saint Marys, GA 31558
Phone (912) 510-7376
Interoperability endpoints
- womenofcamdenadvancedobgyn.michelleperry@128355.advancedmd-direct.com
- https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Saint Marys, GA
- NPI 1558776518
-
- Obstetrics & Gynecology Physician
- Saint Marys, GA
- NPI 1760605471
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
-
- Certified Registered Nurse Anesthetist
- Cleveland, TN
- NPI 1598158859
-
- Obstetrics & Gynecology Physician
- Cleveland, TN
- NPI 1881733525
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1710099429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 DAN PROCTOR DR",
"address_2": "SUITE 1800",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583894",
"telephone_number": "912-510-7376",
"fax_number": "912-510-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 DAN PROCTOR DR",
"address_2": "SUITE 1800",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583894",
"telephone_number": "912-510-7376",
"fax_number": "912-510-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MICHELLE",
"middle_name": "YVONNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "53017",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD0000036799",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.