MEDICARE: ALAN D PERRY M.D.

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	207Q00000X	Family Medicine Physician	47990	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00124116	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1104020002	OTHER	GA	PEACHSTATE
3	313965	OTHER	GA	WELLCARE
4	8708	OTHER	GA	KAISER
5	10033145	OTHER	GA	AMERIGROUP
6	52702796001	OTHER	GA	BC/BS GEORGIA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0101672	OTHER	GA	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1679563423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN D PERRY M.D.

Provider Business Mailing Address
First Line	:	232 19TH ST NW
Second Line	:	SUITE 7220
City	:	ATLANTA
State	:	GA
Zip	:	30363-1130
Country	:	US
Telephone Number	:	404-367-3000
Fax Number	:	404-609-7628

Provider Business Practice Location Address
First Line	:	232 19TH ST NW
Second Line	:	SUITE 7220
City	:	ATLANTA
State	:	GA
Zip	:	30363-1130
Country	:	US
Telephone Number	:	404-367-3000
Fax Number	:	404-609-7628

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	10/13/2008

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Directions to “ ALAN D PERRY M.D.” Practice Location

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