MELVIN G PERRY JR MD, LLC (NPI# 1669702296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669702296 |
Entity Type | Organization |
Organization Name | MELVIN G PERRY JR MD, LLC |
Practice Address |
1216 Heritage Lakes Dr Sw Mableton GA 30126-1248 |
Mailing Address |
Po Box 1339 Mableton GA 30126-1005 |
Practice Telephone | 7707453491 |
Practice Fax Number | 7707453491 |
Mailing Telephone | 7707453491 |
Mailing Fax Number | 7707453491 |
Enumeration Date | 2010-01-04 |
Last Update Date | 2010-01-04 |
Authorized Official Name | DR. MELVIN PERRY (OWNER) |
Authorized Official Telephone | 7707453491 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1216 HERITAGE LAKES DR SW |
City | MABLETON |
State | GA |
Zip Code | 30126-1248 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134751068 | Total Care Pediatrics LLC | Clinic/Center | 1216 Heritage Lakes Dr Sw, Mableton, GA 30126-1248 | 2020-02-08 |
1942502174 | Pediatric Inpatient Care Specialists, Pllc | Pediatrics | 1216 Heritage Lakes Dr Sw, Mableton, GA 30126-1248 | 2010-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083256804 | Thelwell Immediate Care Clinic Inc | Clinic/Center | 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126 | 2019-10-14 |
1467011049 | Iora Senior Health, Inc. | Internal Medicine | 5015 Floyd Rd, Suite 710, Mableton, GA 30126 | 2019-06-07 |
1649677626 | Wonderfully Made Wellness, Inc. | Specialist | 464 Vinings Vintage Circle Se, Mableton, GA 30126 | 2014-11-19 |
1811240633 | The Adult Resource Coalition | Community/Behavioral Health | 609 Hunnicut Rd, Mableton, GA 30126 | 2012-10-17 |
1922389253 | American Current Care Pa | Clinic/Center | 1025 Veterans Memorial, Mableton, GA 30126 | 2011-08-31 |
1558504308 | Eddie Joe Turner Jr. | Emergency Medicine | 4855 Floyd Rd Sw, Mableton, GA 30126 | 2009-04-09 |
1285881227 | Community Dental Services Inc | Dentist | 5761 Mableton Parkway, Mableton, GA 30126 | 2008-08-21 |
1396932281 | Kevin Duane Larry | Counselor | 1119 Silvergate Ln, Mableton, GA 30126 | 2007-09-25 |
1164634440 | Mableton Dental Inc | Dentist | 5841 Mableton Pkwy, Mableton, GA 30126 | 2007-05-07 |
1104038686 | Charles L Davenport Jr. | Pharmacist | 558 Ivey Way S.e., Mableton, GA 30126 | 2007-05-04 |
Find all providers in zip 30126 |
Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275000358 | Spring Heather Ou-tim | Pediatrics | 5461 Meridian Marks Rd Ste 540, Atlanta, GA 30342-3283 | 2018-10-26 |
1184980567 | Meral M Patel | Pediatrics | 777 Hemlock St # 130, Macon, GA 31201-2102 | 2012-04-10 |
1477796951 | Geoffrey Edward Mickells | Pediatrics | 5901-b Peachtree Dunwoody Rd, Suite B-420, Atlanta, GA 30328-7156 | 2009-04-13 |
1306955356 | Renuka Mehta | Pediatrics | Mcg 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
1750351326 | Richard J Cartie | Pediatrics | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 | 2006-01-25 |
1629064134 | Samuel B. Edelman | Pediatrics | 710 Center Street, Columbus, GA 31901 | 2005-09-21 |
1225455793 | Lisa Lima | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1020 | 2014-03-23 |
1205270543 | Ashley Dodd Freeman | Pediatrics | 1120 15th St, Augusta, GA 30912-6805 | 2013-04-17 |
1265775159 | Neelima Krishnapriya Marupudi | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2013-03-29 |
1114215431 | Asaad G Beshish | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-5000 | 2011-07-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.