Lilian Pereira

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN264080 Issued in GA

Practice address

Bethesda Medical Group, LLC
9280 Hwy 5 - Suite D
Douglasville, GA 30134

Phone

(770) 328-6398

Fax

(404) 443-0690

NPI assigned

Jun 8, 2020

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pruitthealth Physicians Services LLCGroup PAC ID 8123327061, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pruitthealth Physicians Services, LLC

  dba PruittHealth Physicians Services

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1043676299

  Family

  Medicare reassignment Care Compare group NPD
• Bethesda Medical Group, LLC

  • Family Medicine Physician
  • Powder Springs, GA
  • NPI 1942686548
  NPD (past)
• Michael D. Reese, M.D., P.C.

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1356580641
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1851915631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 HIGHWAY 5 STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341501",
            "telephone_number": "770-328-6398",
            "fax_number": "404-443-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BETHESDA MEDICAL GROUP, LLC",
            "address_2": "9280 HWY 5 - SUITE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-328-6398",
            "fax_number": "404-443-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "LILIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "264080",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN264080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Peck
• Pediatric and Neonatal Clinic, P.C.
• Mykeyah Angel Peek
• Adasa Ashantay Pegus
• Lindsay Pennington
• Dolores M Perez-Collier, CNA
• Shawn Perkins
• Neil A Persaud, D.O
• Katina Persinger, LPN, LVN
• Bradley Robert Peters, M.D.

• Gerontology Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.