Beth Anne Perry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109586 Issued in FL

Practice address

6559 N Wickham Rd Ste C-105
Melbourne, FL 32940-2039

Phone

(321) 395-3298

Fax

(321) 241-1161

NPI assigned

Jun 27, 2006

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

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in FL

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

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Miramar Beach, FL
  • NPI 1154815546
  Medicare reassignment Care Compare group
• Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
  • NPI 1437148996
  Medicare reassignment
• Florida Dermatology Associates Inc

  • MOHS-Micrographic Surgery Physician
  • Palm Bay, FL
  • NPI 1073577136
  Medicare reassignment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Pensacola, FL
  • NPI 1427853910
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Health First Medical Group, LLC

  • General Practice Physician
  • Melbourne, FL
  • NPI 1750626495
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)
• Lawrence L Anderson MD PA

  • Dermatology Physician
  • Tyler, TX
  • NPI 1932134079
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1891722872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 N WICKHAM RD STE C-105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402039",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 N Wickham Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 N Wickham Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329034280",
            "country_code": "US",
            "telephone_number": "321-312-1352",
            "fax_number": "321-312-1513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Vidina Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408066",
            "country_code": "US",
            "telephone_number": "321-441-8332",
            "fax_number": "321-319-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02723",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bperrypa@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N Wickham Rd Ste 101",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bperrypa@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N Wickham Rd Ste 102",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bperrypa@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "420 5th Ave",
            "city": "Indialantic",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329034280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bperrypa@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "2305 Vidina Dr Ste 102",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329408066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bperrypa@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6559 N Wickham Rd Ste C-105",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffery Damon Perkins, CSA, CST
• Olivia Perkins
• Marie Perlongo, LMT
• Kesline Of Perrier
• Perry Orthopedics LLC
• Jason Michael Perry, PHARMD
• John J. Perry, M.D.
• Joseph L Perry, PA-C
• Kaitlyn Perry
• Mary Lynn Perry, DO

• Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.