Devin Perry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5825 Buford Hwy Ste 300
Norcross, GA 30071-2504

Phone

(678) 782-6920

NPI assigned

Apr 22, 2021

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

Electronic endpoints 1

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wellstreet of Georgia PC

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment Care Compare group
• Medlife Healthcare LLC

  • Family Medicine Physician
  • Flowery Branch, GA
  • NPI 1558974709
  Medicare reassignment
• Medlife Urgent Care LLC

  • Urgent Care Clinic/Center
  • McDonough, GA
  • NPI 1083249114
  Medicare reassignment

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1982286654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 WESLEYAN CIR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 BUFORD HWY STE 300",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712504",
            "telephone_number": "678-782-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "medlifeurgentcare.com",
            "affiliation": "N",
            "address_1": "5825 Buford Hwy Ste 300",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300712504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Maria Pena, PA-C
• Eryka Johnetta Pennix
• Gabriel Perez-Otero
• Mary Perloe, NP
• Joseph Perrotta
• Andrea Pertab
• Craig K. Petek, DC
• Harrison Peters
• Brian Dinh Pham, RPH
• Christine Phuong Bach Pham, D.D.S.

• Physician Assistant in Norcross, GA
• Providers in Norcross, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.