ALVIS TEDERRALL PERRY (NPI# 1922124106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922124106 |
| Entity Type | Individual |
| Full Name | ALVIS TEDERRALL PERRY |
| Credential | M.D. |
| Practice Address |
3840 Peachtree Industrial Blvd Suite 220 Duluth GA 30096-5031 |
| Mailing Address |
315 Sims Bridge Rd Commerce GA 30530-6868 |
| Practice Telephone | 7703313171 |
| Practice Fax Number | 7063352257 |
| Mailing Telephone | 2293394330 |
| Mailing Fax Number | 7063352257 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 034921 | GA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
14980 | TN | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
034921 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3840 PEACHTREE INDUSTRIAL BLVD SUITE 220 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154783785 | Us Medical Imaging, LLC | Physiological Laboratory | 3840 Peachtree Industrial Blvd, Suite 110, Duluth, GA 30096-5031 | 2016-03-23 |
| 1043567217 | New Hope Adult Day Care, L.L.C. | Clinic/Center | 3840 Peachtree Industrial Blvd, Suite 120, Duluth, GA 30096-5031 | 2012-08-07 |
| 1831465426 | Aa-pain Management P.C. | Clinic/Center | 3840 Peachtree Industrial Blvd, Suite 220, Duluth, GA 30096-5031 | 2012-03-28 |
| 1104125202 | Eunjoo Bae | Dentist | 3840 Peachtree Industrial Blvd, Suite 320, Duluth, GA 30096-5031 | 2011-03-15 |
| 1215235726 | Freedom 11, LLC | Dentist | 3840 Peachtree Industrial Blvd, 320, Duluth, GA 30096 | 2011-03-08 |
| 1710280656 | New Gyn LLC | Clinic/Center | 3840 Peachtree Industrial Blvd, 275, Duluth, GA 30096-5031 | 2010-12-15 |
| 1528370970 | Healthtrac Family Wellness | Chiropractor | 3840 Peachtree Industrial Blvd, Suite 210, Duluth, GA 30096-5031 | 2010-07-13 |
| 1346568631 | A. Louis Jimenez, Dpm, PC | Podiatrist | 3840 Peachtree Industrial Blvd, Suite 200, Duluth, GA 30096-5031 | 2010-05-11 |
| 1629253851 | Jeffrey Michael Olivo | Physical Therapist | 3840 Peachtree Industrial Blvd, Ste 120, Duluth, GA 30096-5031 | 2008-01-07 |
| 1023207636 | Chi K Hui | Chiropractor | 3840 Peachtree Industrial Blvd, Suite 210, Duluth, GA 30096-5031 | 2007-10-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033415146 | Carl R Noback Md, PC | Anesthesiology | 3510 Moye Trl, Duluth, GA 30097-6216 | 2011-02-07 |
| 1366554917 | Rajesh K Patel | Anesthesiology | 3235 Satellite Blvd Ste 104, Duluth, GA 30096-8688 | 2006-08-31 |
| 1194165050 | Christopher Michael Davies | Anesthesiology | 1420 London Rd Ste 100, Duluth, MN 55805 | 2013-06-25 |
| 1699709980 | David Oliver Nelson | Anesthesiology | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-10 |
| 1487608675 | Hal B Heyer | Anesthesiology | 1420 London Rd, Suite 100, Duluth, MN 55805-2433 | 2006-05-20 |
| 1285688788 | Wolverine Anesthesia, LLC | Anesthesiology | 1420 London Rd, Suite 100, Duluth, MN 55805-2433 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331423 | Premier Healthcare Center Corp | Anesthesiology | 4153 Flat Shoals Pkwy Ste 102, Decatur, GA 30034-4106 | 2020-06-22 |
| 1205457710 | Urgent Pain Management, Inc | Anesthesiology | 1001 Virginia Ave, Hapeville, GA 30354-1328 | 2020-05-06 |
| 1831710854 | Md Pain Care, P.C. | Anesthesiology | 333 Alcovy St Ste 3, Monroe, GA 30655-2180 | 2020-04-30 |
| 1295356210 | Md Pain Care, P.C. | Anesthesiology | 5109 Highway 278 Ne Ste C, Covington, GA 30014-2608 | 2020-04-30 |
| 1407475296 | Georgia Injury & Pain Specialists | Anesthesiology | 7001 Hodgson Memorial Dr Ste 5, Savannah, GA 31406-2549 | 2020-04-11 |
| 1023645629 | Nexus Pain Center of Lagrange LLC | Anesthesiology | 1075 Lafayette Pkwy Ste 230, Lagrange, GA 30241-3734 | 2020-03-24 |
| 1255820502 | Georgia Pain and Spine Solutions, PC | Anesthesiology | 76 Highland Pavilion Court, #133, Hiram, GA 30141-3170 | 2018-05-02 |
| 1336527191 | Palmetto Pain Management of Ga, LLC | Anesthesiology | 5745 Clarion St, Cumming, GA 30040-0305 | 2015-05-13 |
| 1033546999 | Pain Management Specialists of Atlanta P C | Anesthesiology | 616a S 8th St, Suite A, Griffin, GA 30224-4214 | 2013-10-08 |
| 1649615584 | Nj Medical Services PC | Anesthesiology | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2013-05-06 |
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| 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.