Individual provider Active NPI

Perry J Scallan Sr., M.D.F.A.C.P

  • Specialist
  • Blairsville, GA
National Provider Identifier
1720130156
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
033190 Issued in GA
Practice address
204 Gainesville Hwy
Blairsville, GA 30512-4512
Phone
(706) 781-1600
Fax
(706) 835-2794
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 033190 GA Primary

Addresses

Primary practice location

204 Gainesville Hwy
Blairsville, GA 30512-4512

Mailing address

204 Gainesville Hwy
Blairsville, GA 30512-4512
Phone (706) 781-1600

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
I20091124000534 GA Practitioner - Dermatology 0840339255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Gainesville Hwy
Blairsville, GA 30512-4512

Hospital & facility affiliations

  • Union General Hospital Hospital, Blairsville, GA, CCN 110051

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions1084
Removal or shaving of skin growth1-10
Skin biopsy138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Dermatology, PC Specialist CurrentSince Feb 5, 2013 Accepting new patients

Locations

204 Gainesville Hwy
Blairsville, GA 30512
Phone (706) 781-1600

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 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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1720130156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GAINESVILLE HWY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305124512",
            "telephone_number": "706-781-1600",
            "fax_number": "706-835-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GAINESVILLE HWY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305124512",
            "telephone_number": "706-781-1600",
            "fax_number": "706-835-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLAN",
        "first_name": "PERRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.F.A.C.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "033190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.