ALVIS TEDERRALL PERRY M.D. - NPI 1922124106 - Anesthesiology in Duluth, GA

Q: What is Alvis Perry's NPI number?

The NPI number for Alvis Perry is 1922124106. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Alvis Perry's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Alvis Perry was last updated on April 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alvis Tederrall Perry M.d. NPPES

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

ALVIS TEDERRALL PERRY M.D. (NPI 1922124106) is an individual pain medicine provider in Duluth, Georgia, licensed in Tennessee (14980) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922124106

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameALVIS TEDERRALL PERRYCredential: M.D.

Location Address3840 PEACHTREE INDUSTRIAL BLVD, SUITE 220Duluth, GA 30096-5031

Mailing Address315 Sims Bridge RdCommerce, GA 30530-6868 · (229) 339-4330 · Fax (706) 335-2257

Phone(770) 331-3171

Fax(706) 335-2257

Sole ProprietorYes

Enumeration DateMarch 21, 2007

Last NPPES UpdateApril 19, 2016

✔ NPI 1922124106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in TN · 14980

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 034921 (GA)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 034921 (GA)

3840 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30096

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Other Identifiers 1

Medicare PIN511I050204GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alvis Tederrall Perry M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.