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MRS. DEJAH RENA PERRY FNP-BC
NPI 1205612041
Nurse Practitioner - Family in Chatsworth, GA

Active since September 07, 2023PECOS Enrolled
2976 HIGHWAY 76 STE B, CHATSWORTH, GA 30705(706) 517-0656(706) 517-0651 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 13, 2025, Sep 7, 2023 (2 updates tracked since 2023).

About Mrs. Dejah Rena Perry Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEJAH RENA PERRY FNP-BC (NPI 1205612041) is an individual family provider in Chatsworth, Georgia, licensed in Georgia (RN294327) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2023).

NPPES Registry Identity

NPI1205612041
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEJAH RENA PERRYCredential: FNP-BC
Location Address2976 HIGHWAY 76 STE BChatsworth, GA 30705-6982
Mailing Address4014 Sydney CirDalton, GA 30721-8193 · (706) 260-0528
Phone(706) 517-0656
Fax(706) 517-0651
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2023
Enumeration DateSeptember 7, 2023
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1205612041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN294327
2976 HIGHWAY 76 STE B, Chatsworth, GA 30705
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dejah Rena Perry Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406346451
PECOS Enrollment IDI20251107000647
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dejah Perry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

C-Worth Family Walk-In Clinic, LLC
0.1 mi
Health Maintenance Organization
2976 HIGHWAY 76, SUITE B & C
Chatsworth, GA 30705
  • Reassigned Medicare billing, Georgia enrollment
NPI 1093014532 (423) 339-2320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dejah Perry's NPI number?

The NPI number for Dejah Perry is 1205612041. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Dejah Perry located?

Dejah Perry practices at 2976 Highway 76 Ste B, Chatsworth, GA 30705. The listed phone number is (706) 517-0656.

What is Dejah Perry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dejah Perry enrolled in Medicare?

Yes. Dejah Perry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dejah Perry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dejah Perry reassigns Medicare benefits to C-Worth Family Walk-In Clinic, LLC (Chatsworth, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dejah Perry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dejah Perry accept?

Health plans from Alliant Health Plans, Inc. list Dejah Perry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dejah Perry was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.