Healthcare Provider Details

I. General information

NPI: 1265352611
Provider Name (Legal Business Name): DRIP & SIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 FURYS FERRY RD STE 204
AUGUSTA GA
30907-4729
US

IV. Provider business mailing address

4998 SUSSEX DR
EVANS GA
30809-8223
US

V. Phone/Fax

Practice location:
  • Phone: 706-755-7760
  • Fax:
Mailing address:
  • Phone: 706-755-7760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANET E PEREZ
Title or Position: MANAGING MEMBER
Credential: DNP, APRN, AGNP-C
Phone: 706-755-7760