PERRY R HEARN (NPI# 1568412146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568412146 |
| Entity Type | Individual |
| Full Name | PERRY R HEARN |
| Credential | MD |
| Practice Address |
775 Sunset Dr Athens GA 30606 |
| Mailing Address |
Po Box 597 Watkinsville GA 30677-0015 |
| Practice Telephone | 7064251500 |
| Mailing Telephone | 7813893628 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 028997 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 058279 | MA | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
028997 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 028997 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3025161 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1030 Village Dr Ste B, Watkinsville, GA 306776004 | 7067696122 | 7067697074 |
| Street Address |
775 SUNSET DR |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114555083 | Kaelan Dawson | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2020-03-27 |
| 1891330296 | Robert Michael Gifford | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2019-11-10 |
| 1619441359 | Christine Carullo | Speech-Language Pathologist | 775 Sunset Dr, Athens, GA 30606-2211 | 2019-01-16 |
| 1003382649 | Heather Wendell | Occupational Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2018-10-22 |
| 1366949521 | Melissa Ann Mcdowell | Registered Nurse | 775 Sunset Dr, Athens, GA 30606-2211 | 2018-04-12 |
| 1508392325 | Dawn Vanover | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2017-05-11 |
| 1215302526 | Candice Shadel Granger | Occupational Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2015-12-11 |
| 1316284334 | Christen Bambrick Warren | Physical Therapist | 775 Sunset Dr, Athens, GA 30606-2211 | 2013-01-10 |
| 1124363296 | Ashley Toomer Camoosa | Physical Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2012-11-30 |
| 1740525005 | Keosha Jones | Physical Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2012-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831598572 | Preferred Treatment Center, LLC | Family Medicine | 108 Corporate Sq Ste A, Dublin, GA 31021-4252 | 2014-08-19 |
| 1073714580 | James R Granger IIi | Family Medicine | 3823 Roswell Rd Ste 201, Marietta, GA 30062-6295 | 2007-05-30 |
| 1588770895 | Melissa Lee Warner | Family Medicine | 310 Black Bear Rdg, Sautee, GA 30571-3500 | 2006-08-21 |
| 1013952852 | William Robert Rout | Family Medicine | 963 Bennock Mill Dr., Augusta, GA 30906 | 2006-06-17 |
| 1184608077 | Michael Cowl Gordon | Family Medicine | 1800 Water Pl Se, Suite 100, Atlanta, GA 30339-2061 | 2005-12-04 |
| 1073512125 | Scott Thomas Miles | Family Medicine | 5155 Ga Highway 40 East, St. Marys, GA 31558 | 2005-07-20 |
| 1891393005 | Jubilee Primary Care PC | Family Medicine | 3312 Heathchase Ln, Suwanee, GA 30024-4639 | 2020-10-12 |
| 1801241559 | Thomas George Savel | Family Medicine | 767 Peachtree Pkwy, Suite 4, Cumming, GA 30041-9348 | 2016-05-02 |
| 1427484963 | Physician Management & Consulting | Family Medicine | 1050 Shiloh Rd Nw, Suite 311, Kennesaw, GA 30144-7194 | 2013-09-16 |
| 1518255777 | Michael C. Gordon Md, LLC | Family Medicine | 4015 S Cobb Dr Se, Suite 220, Smyrna, GA 30080-6303 | 2011-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PERRY R HEARN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.