NPIMap

Organization Active NPI

Perry Wellness Center

  • Community/Behavioral Health Agency
  • Americus, GA
National Provider Identifier
1730450354
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERRY WELLNESS CENTER
Practice address
302 E Furlow St
Americus, GA 31709-4031
Phone
(229) 924-2430
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Pam Perry, BS EDUCATION
Title
Asst. Executive Director
Phone
(229) 924-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA Primary

Addresses

Primary practice location

302 E Furlow St
Americus, GA 31709-4031

Mailing address

302 E Furlow St
Americus, GA 31709-4031
Phone (229) 924-2430

Other identifiers 1

IdentifierTypeStateIssuer
413579948AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Perry Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

302 E Furlow St
Americus, GA 31709
Phone (229) 924-2430

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1730450354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E FURLOW ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094031",
            "telephone_number": "229-924-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E FURLOW ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094031",
            "telephone_number": "229-924-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ASST. EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "229-924-2430",
        "authorized_official_credential": "BS EDUCATION"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413579948A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.