Jennifer Suzette Perry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9700708 Issued in NC

Practice address

304 Winecoff School Rd
Winecoff Family Physicians
Concord, NC 28027

Phone

(704) 262-7901

Fax

(704) 262-7902

NPI assigned

Jun 7, 2006

Last updated

Aug 14, 2013By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAJJDD

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.

• Winecoff Family Practice

  • Family Medicine Physician
  • Concord, NC
  • NPI 1467600379
  Medicare reassignment NPD
• Rowan Health and Wellness

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1568132777
  NPD (past)
• Winecoff Family Physicians PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1326003393
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1952341042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WINECOFF SCHOOL RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-262-7901",
            "fax_number": "704-262-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WINECOFF SCHOOL RD",
            "address_2": "WINECOFF FAMILY PHYSICIANS",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-262-7901",
            "fax_number": "704-262-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JENNIFER",
        "middle_name": "SUZETTE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891068R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1068R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perigon Pediatric Therapy and Consulting
• Lariise Nicole Perkins
• Linda Perkins
• Zoe Catherine Perrin, LCHMCA
• Erin Elizabeth Perrotti, NP
• Melsia Perry, MA,QP,'LPC APLICANT'
• Bryan Todd Persinger, D.D.S.
• Breanna Peters
• Christopher Peters, M.S.
• Jamie Leigh Peters, LMFTA

• Family Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.