Alvis Tederrall Perry, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

14980 Issued in TN

Practice address

3840 Peachtree Industrial Blvd
Suite 220
Duluth, GA 30096-5031

Phone

(770) 331-3171

Fax

(706) 335-2257

NPI assigned

Mar 21, 2007

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10038297

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.

• Aa Anesthesia

  • Anesthesiology Physician
  • Suwanee, GA
  • NPI 1588930028
  NPD (past) Authorized official
• Aa-Pain Management P.C.

  • Pain Clinic/Center
  • Duluth, GA
  • NPI 1831465426
  Authorized official Same address or phone
• Demboski Healthcare Inc

  dba North Georgia Pain Management Specialists

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1629344841

  Anesthesiology

  NPD (past)
• Gastroenterology Associates of Gainesville, P. C.

  • Gastroenterology Physician
  • Gainesville, GA
  • NPI 1033169297
  NPD (past)
• North Georgia Physical Medicine

  • General Practice Physician
  • Cumming, GA
  • NPI 1629586698
  NPD (past)
• Tifton Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Tifton, GA
  • NPI 1710964614
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1922124106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SIMS BRIDGE RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305306868",
            "telephone_number": "229-339-4330",
            "fax_number": "706-335-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 220",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965031",
            "telephone_number": "770-331-3171",
            "fax_number": "706-335-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ALVIS",
        "middle_name": "TEDERRALL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "034921",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "034921",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "14980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peoples Serve Transportation,LLC
• Jasmine Peoples
• Jasmin Virginia Perez Ramos
• Tania Perez
• Jodi Maria Perkins
• Lashavia Person, FNP-BC
• Kimberly Jackson Peters, OTRL
• Elisabeth Olsen Peterson, PNP
• Jordan V Peterson, PT
• Petrichor Counseling, LLC

• Pain Medicine (Anesthesiology) Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Pain Medicine (Anesthesiology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.