Individual provider Active NPI

James Oliver Perry, P.A.-C.

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1831287614
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0000743 Issued in MD
Practice address
5450 Knoll North Dr
Suite 250
Columbia, MD 21045-2373
Phone
(410) 964-6200
Fax
(410) 964-6392
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0000743 MD Primary
Physician Assistant 363A00000X CA14918 CA

Addresses

Primary practice location

5450 Knoll North Dr
Suite 250
Columbia, MD 21045-2373

Mailing address

5450 Knoll North Dr
Suite 250
Columbia, MD 21045-2373
Phone (410) 964-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
CA14918CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Emergency Services District of Columbia Inc Past Accepting new patients
Regenerative Orthopedics and Sports Medicine, LLC PastSince May 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1831287614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452373",
            "telephone_number": "410-964-6200",
            "fax_number": "410-964-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452373",
            "telephone_number": "410-964-6200",
            "fax_number": "410-964-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JAMES",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000743",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "CA14918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.