MR. KEVIN TYLER PERRY FNP-C
NPI 1265180798
Nurse Practitioner - Family in Carrollton, GA

Q: What is Kevin Perry's NPI number?

The NPI number for Kevin Perry is 1265180798. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Q: What is Kevin Perry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Perry was last updated on December 12, 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.

Active since March 14, 2022PECOS EnrolledAccepts Medicare Assignment

706 DIXIE ST STE 320, CARROLLTON, GA 30117(770) 812-9326(770) 836-9358 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mr. Kevin Tyler Perry Fnp-c NPPES

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

MR. KEVIN TYLER PERRY FNP-C (NPI 1265180798) is an individual family provider in Carrollton, Georgia, licensed in Georgia (APRN-NP286692) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265180798

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. KEVIN TYLER PERRYCredential: FNP-C

Location Address706 DIXIE ST STE 320Carrollton, GA 30117-3890

Mailing Address706 Dixie St Ste 320Carrollton, GA 30117-3890 · (770) 812-9326 · Fax (770) 836-9358

Phone(770) 812-9326

Fax(770) 836-9358

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 14, 2022

Last NPPES UpdateDecember 12, 2025

NPPES CertifiedDecember 12, 2025

✔ NPI 1265180798 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 · APRN-NP286692

706 DIXIE ST STE 320, Carrollton, GA 30117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Tyler Perry Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173900412

PECOS Enrollment IDI20220506001442, I20221017001828

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 Reassignments

Medicare enrollment records show Kevin Perry reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tanner Medical Group Inc

1.4 mi

Cardiovascular Disease

100 GREENWAY BLVD FL 2
Carrollton, GA 30117

Reassigned Medicare billing, Alabama and Georgia enrollments
7 clinicians in this Medicare group

NPI 1396979787 (770) 838-8710

Tmc Immediate Care, Inc

15 mi

Urgent Care

101 QUARTZ DR, SUITE 101
Villa Rica, GA 30180

Reassigned Medicare billing, Georgia enrollment
45 clinicians in this Medicare group

NPI 1386708097 (770) 949-7500

Wedowee Specialty Clinic Inc

30 mi

Cardiovascular Disease

1030 MAIN ST S STE 201
Wedowee, AL 36278

Reassigned Medicare billing, Alabama enrollment
10 clinicians in this Medicare group

NPI 1275115362 (256) 357-2188

Rural Urgent Care LLC

55 mi

Urgent Care

1925 W MAIN ST STE 120
Centre, AL 35960

Reassigned Medicare billing, Alabama enrollment
276 clinicians in this Medicare group

NPI 1932586476 (205) 545-5088

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

296 services236 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

246 services180 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

146 services16 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONDA S PHILLIPS NP

Nurse Practitioner