MEDICARE: DR. CHRISTOPHER PEREZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	065875	GA
2	202K00000X	Phlebology Physician	065875	GA
3	207P00000X	Emergency Medicine Physician	065875	GA
4	2086S0129X	Vascular Surgery Physician	065875	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215974944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER PEREZ MD

Provider Business Mailing Address
First Line	:	5578 FARMSIDE WAY STE 300
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30022-6353
Country	:	US
Telephone Number	:	954-802-8835
Fax Number	:	678-833-1445

Provider Business Practice Location Address
First Line	:	874 LANIER AVE W STE 220
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-7659
Country	:	US
Telephone Number	:	678-833-1444
Fax Number	:	678-833-1444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/23/2026

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Directions to “ DR. CHRISTOPHER PEREZ MD” Practice Location

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