Lisa C Perry-Gilkes, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

052218 Issued in GA

Practice address

3885 Princeton Lakes Way SW
Suite 312a
Atlanta, GA 30331-5589

Phone

(404) 766-8110

Fax

(404) 766-8106

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: entisugerycenter.lisaperry-gilkes@129947.advancedmd-direct.com

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.

• Polaris Medical Group LLC

  • Specialist
  • Atlanta, GA
  • NPI 1366583577
  NPD Authorized official
• James K. Fortson, M.D., P.C.

  • Otolaryngology Physician
  • East Point, GA
  • NPI 1245385806
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1811989478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16968",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303210968",
            "telephone_number": "404-766-8110",
            "fax_number": "404-766-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW",
            "address_2": "SUITE 312A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315589",
            "telephone_number": "404-766-8110",
            "fax_number": "404-766-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY-GILKES",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "052218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Perrine, O.D. PC
• Stephanie L Perrino, PHARM.D.
• Carlota E Perrot, NP-C
• Perry H. Julien, D.P.M.
• Perry Stylez Enterprise
• Alan D Perry, M.D.
• Allison Perry
• Andrea Perry
• Breanna L Perry, LMSW
• Brittani Perry

• Otolaryngology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.