1. Home
  2. Directory
  3. Georgia
  4. Suwanee
  5. Clinic Center
  6. NPI Profile

PERRY MD MEDICAL LLC
NPI 1558177410
Clinic/Center - Primary Care in Suwanee, GA

Active since December 05, 2024
1300 PEACHTREE INDUSTRIAL BLVD STE 4103, SUWANEE, GA 30024(678) 677-5973(770) 831-5527 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Perry Md Medical Llc NPPES

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

PERRY MD MEDICAL LLC (NPI 1558177410) is a healthcare organization registered as a primary care in Suwanee, Georgia and active in the NPI registry since December 2024. The organization lists Ronald E Perry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558177410
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePERRY MD MEDICAL LLC
Location Address1300 PEACHTREE INDUSTRIAL BLVD STE 4103Suwanee, GA 30024-4543
Mailing Address1300 Peachtree Industrial Blvd Ste 4103Suwanee, GA 30024-4543 · (678) 677-5973 · Fax (770) 831-5527
Phone(678) 677-5973
Fax(770) 831-5527
Organization SubpartNo
Authorized OfficialRonald E PerryCeo · (770) 831-5525
Enumeration DateDecember 5, 2024
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1558177410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1300 PEACHTREE INDUSTRIAL BLVD STE 4103, Suwanee, GA 30024
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Perry Md Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Perry MD Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ronald Perry, M.D.
General Practice
NPI 1932123015
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
Suwanee, GA 30024
(770) 831-5525
✔ PECOS✔ Accepts MedicareSame address
Martin Dixon, D.O.
Family Practice
NPI 1144334798
8225 MALL PKWY SUITE 100
Lithonia, GA 30038
(770) 981-2100
✔ PECOS24 mi

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

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 Perry MD Medical LLC's NPI number?

The NPI number for Perry MD Medical LLC is 1558177410. It was assigned to this organization in the NPPES registry on December 5, 2024.

Where is Perry MD Medical LLC located?

Perry MD Medical LLC is located at 1300 Peachtree Industrial Blvd Ste 4103, Suwanee, GA 30024. The listed phone number is (678) 677-5973.

What is Perry MD Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Perry MD Medical LLC enrolled in Medicare?

Yes. Perry MD Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Perry MD Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Perry MD Medical LLC, in Family Practice and General Practice. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Perry MD Medical LLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.