Individual provider Active NPI

Michelle Yvonne Perry, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Marys, GA
National Provider Identifier
1710099429
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
53017 Issued in GA
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

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000763 GA Practitioner - Obstetrics/Gynecology 1951325562 Reassigns benefits to 2 organizations

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 Hospital, Saint Marys, GA, CCN 110146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53017GAMDObstetrics & Gynecology Physician
MD0000036799TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women of Camden Advanced OBGYN Obstetrics & Gynecology CurrentSince May 12, 2014 Accepting new patients
Camden OBGYN Obstetrics & Gynecology CurrentSince Sep 10, 2012 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

  • Direct secure messaging: womenofcamdenadvancedobgyn.michelleperry@128355.advancedmd-direct.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.