Active NPI 1932123015 Individual Practitioner Male Practitioner

Dr. Ronald E Perry , MD

General Practice • Suwanee, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Perry, MD is a certified General Practice practicing in Suwanee, GA. With approximately 26 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2000, Dr. Perry delivers high-quality medical care to the local community at 1300 PEACHTREE INDUSTRIAL BLVD STE 4101.

Dr. Perry accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Peachtree Industrial Blvd Ste 4101

Suwanee, GA 300244542

Telephone 7708315525

Fax 7708315527

Associated Practice Facility / Clinic

🏢 Gwinnett Urgent Care Facility NPI 1295907756

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Suwanee, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs Matches City Avg

City Avg: 26.0 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Suwanee, GA (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Perry (26 Years) 26 Yrs

Suwanee Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,525	139	$2.00	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	203	146	$59.00	$13.42
99213 Established patient office or other outpatient visit, typically 15 minutes	181	157	$320.00	$86.62
J0696 Injection, ceftriaxone sodium, per 250 mg	132	31	$31.00	$0.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	71	$320.00	$121.73
J1885 Injection, ketorolac tromethamine, per 15 mg	52	12	$3.00	$0.63
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	16	$37.00	$16.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	27	27	$75.00	$50.28
71046 X-ray of chest, 2 views	27	27	$112.00	$30.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$320.00	$105.21
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	26	25	$23.35	$7.61
81002 Urinalysis, manual test	26	24	$8.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	19	17	$19.00	$8.65
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	17	15	$2.00	$0.19
94640 Inhalation treatment for airway obstruction or sputum production	15	15	$45.00	$7.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	6,239	479	$0.31	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,911	1,060	$110.13	$88.85
J0696 Injection, ceftriaxone sodium, per 250 mg	1,016	162	$1.51	$0.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	905	605	$38.25	$13.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	358	358	$163.20	$110.22
71046 X-ray of chest, 2 views	145	133	$41.97	$33.20
36415 Insertion of needle into vein for collection of blood sample	136	123	$32.86	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	110	$162.27	$124.86
J1885 Injection, ketorolac tromethamine, per 15 mg	47	30	$2.05	$0.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	37	$65.58	$55.04
73630 X-ray of foot, minimum of 3 views	41	37	$43.61	$33.77
81002 Urinalysis, manual test	37	32	$5.25	$3.41
74018 X-ray of abdomen, 1 view	37	37	$35.51	$29.70
93000 Routine ekg using at least 12 leads including interpretation and report	37	37	$25.80	$14.26
69209 Removal of impacted ear wax by washing	33	31	$16.23	$14.88
71101 X-ray of ribs on side of body, minimum of 3 views	26	26	$54.89	$42.05
73130 X-ray of hand, minimum of 3 views	24	24	$46.51	$36.43
J1040 Injection, methylprednisolone acetate, 80 mg	24	24	$8.07	$7.95
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	23	23	$100.25	$28.80
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	22	$24.66	$16.22
73560 X-ray of knee, 1-2 views	22	22	$46.85	$33.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$249.06	$163.87
73110 X-ray of wrist, minimum of 3 views	17	17	$53.33	$40.63
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$52.77	$39.57
73030 X-ray of shoulder, minimum of 2 views	15	15	$43.61	$34.68
73503 X-ray of hip with pelvis, minimum of 4 views	15	15	$78.09	$59.33
94640 Inhalation treatment for airway obstruction or sputum production	15	14	$28.03	$8.67
J2405 Injection, ondansetron hydrochloride, per 1 mg	12	12	$0.26	$0.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	6,433	509	$0.31	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,725	1,009	$110.16	$87.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	927	657	$38.25	$13.76
J0696 Injection, ceftriaxone sodium, per 250 mg	823	144	$1.51	$0.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	426	426	$163.20	$108.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	286	203	$65.58	$54.16
81002 Urinalysis, manual test	136	97	$5.25	$3.43
71046 X-ray of chest, 2 views	118	112	$41.97	$32.40
36415 Insertion of needle into vein for collection of blood sample	106	100	$32.86	$2.96
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$112.83	$69.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	79	74	$24.66	$16.29
J1885 Injection, ketorolac tromethamine, per 15 mg	43	19	$2.05	$0.59
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	41	41	$100.25	$27.95
69209 Removal of impacted ear wax by washing	36	35	$16.23	$14.30
73630 X-ray of foot, minimum of 3 views	30	30	$43.61	$33.09
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$25.80	$13.85
73130 X-ray of hand, minimum of 3 views	23	23	$46.51	$35.52
71101 X-ray of ribs on side of body, minimum of 3 views	21	21	$54.89	$40.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	19	14	$4.25	$1.71
94640 Inhalation treatment for airway obstruction or sputum production	19	19	$28.03	$10.34
74018 X-ray of abdomen, 1 view	17	17	$35.51	$28.98
73560 X-ray of knee, 1-2 views	16	16	$46.85	$32.14
73610 X-ray of ankle, minimum of 3 views	13	13	$46.85	$35.55
73030 X-ray of shoulder, minimum of 2 views	12	12	$43.61	$32.65
73110 X-ray of wrist, minimum of 3 views	12	12	$53.33	$39.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,800	331	$0.31	$0.14
99213 Established patient office or other outpatient visit, typically 15 minutes	1,267	776	$110.16	$89.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	591	450	$38.25	$13.77
J0696 Injection, ceftriaxone sodium, per 250 mg	515	110	$1.51	$0.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	479	337	$64.62	$53.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	407	407	$163.11	$109.65
99202 New patient office or other outpatient visit, typically 20 minutes	356	356	$112.05	$69.95
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	286	250	$51.31	$51.31
36415 Insertion of needle into vein for collection of blood sample	135	121	$32.86	$3.00
81002 Urinalysis, manual test	101	79	$5.25	$3.48
71046 X-ray of chest, 2 views	96	89	$41.97	$32.85
J1885 Injection, ketorolac tromethamine, per 15 mg	41	15	$2.05	$0.52
93000 Routine ekg using at least 12 leads including interpretation and report	36	36	$25.80	$14.53
69209 Removal of impacted ear wax by washing	35	29	$16.23	$13.71
74018 X-ray of abdomen, 1 view	33	32	$35.51	$28.80
73630 X-ray of foot, minimum of 3 views	29	29	$43.61	$32.78
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	29	29	$100.25	$26.39
73130 X-ray of hand, minimum of 3 views	26	26	$46.51	$35.32
73610 X-ray of ankle, minimum of 3 views	22	22	$46.85	$35.53
73030 X-ray of shoulder, minimum of 2 views	21	21	$43.61	$33.02
71101 X-ray of ribs on side of body, minimum of 3 views	21	19	$54.89	$41.10
87804 Detection test by immunoassay with direct visual observation for influenza virus	17	17	$24.66	$16.55
94640 Inhalation treatment for airway obstruction or sputum production	14	14	$28.03	$13.29
73110 X-ray of wrist, minimum of 3 views	11	11	$53.33	$38.78
73080 X-ray of elbow, minimum of 3 views	11	11	$46.85	$31.54
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$52.77	$39.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,008	246	$0.31	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,028	614	$110.21	$73.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	457	327	$38.25	$13.95
J0696 Injection, ceftriaxone sodium, per 250 mg	428	79	$1.52	$0.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	359	359	$163.12	$105.90
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	190	175	$51.31	$51.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	124	$65.58	$44.79
99202 New patient office or other outpatient visit, typically 20 minutes	160	160	$112.91	$74.27
36415 Insertion of needle into vein for collection of blood sample	148	139	$32.86	$2.98
71046 X-ray of chest, 2 views	113	106	$41.97	$31.78
81002 Urinalysis, manual test	100	63	$5.25	$3.46
J1885 Injection, ketorolac tromethamine, per 15 mg	38	23	$2.05	$0.57
74018 X-ray of abdomen, 1 view	37	35	$35.51	$28.50
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$25.80	$16.91
87804 Detection test by immunoassay with direct visual observation for influenza virus	29	28	$24.66	$16.25
J2405 Injection, ondansetron hydrochloride, per 1 mg	28	13	$0.26	$0.09
73630 X-ray of foot, minimum of 3 views	27	22	$43.61	$31.63
94640 Inhalation treatment for airway obstruction or sputum production	25	21	$28.03	$16.75
69209 Removal of impacted ear wax by washing	24	24	$16.23	$13.20
73130 X-ray of hand, minimum of 3 views	21	21	$46.51	$34.29
71101 X-ray of ribs on side of body, minimum of 3 views	20	20	$54.89	$40.40
73110 X-ray of wrist, minimum of 3 views	20	20	$53.33	$37.77
73610 X-ray of ankle, minimum of 3 views	18	18	$46.85	$34.31
73560 X-ray of knee, 1-2 views	17	17	$46.85	$33.13
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	16	16	$100.25	$25.91
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$52.77	$37.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	5,705	449	$0.31	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,568	847	$110.25	$72.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	774	525	$38.25	$16.15
J0696 Injection, ceftriaxone sodium, per 250 mg	740	108	$1.51	$0.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	496	496	$163.20	$105.87
71046 X-ray of chest, 2 views	173	147	$41.97	$30.41
36415 Insertion of needle into vein for collection of blood sample	148	134	$32.86	$2.94
81002 Urinalysis, manual test	138	96	$5.25	$3.41
94640 Inhalation treatment for airway obstruction or sputum production	68	59	$28.03	$17.18
73630 X-ray of foot, minimum of 3 views	46	44	$43.61	$29.97
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$25.80	$16.59
74018 X-ray of abdomen, 1 view	39	37	$35.51	$28.07
73130 X-ray of hand, minimum of 3 views	28	27	$46.51	$32.10
87804 Detection test by immunoassay with direct visual observation for influenza virus	27	26	$24.66	$16.22
69209 Removal of impacted ear wax by washing	26	26	$16.23	$13.24
73560 X-ray of knee, 1-2 views	23	21	$46.85	$31.69
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$52.77	$35.45
73610 X-ray of ankle, minimum of 3 views	23	20	$46.85	$32.04
73030 X-ray of shoulder, minimum of 2 views	22	21	$43.61	$28.96
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	21	21	$100.25	$23.37
73110 X-ray of wrist, minimum of 3 views	20	20	$53.33	$35.13
71101 X-ray of ribs on side of body, minimum of 3 views	16	16	$54.89	$38.21
J1885 Injection, ketorolac tromethamine, per 15 mg	16	13	$2.05	$0.58
73503 X-ray of hip with pelvis, minimum of 4 views	14	14	$78.09	$50.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	4,240	452	$0.31	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,257	676	$110.27	$69.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	689	508	$38.25	$19.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	583	583	$162.94	$102.88
J0696 Injection, ceftriaxone sodium, per 250 mg	377	80	$1.51	$0.61
71046 X-ray of chest, 2 views	182	162	$41.97	$28.87
81002 Urinalysis, manual test	150	110	$5.25	$3.41
36415 Insertion of needle into vein for collection of blood sample	91	85	$32.86	$2.94
94640 Inhalation treatment for airway obstruction or sputum production	61	57	$28.03	$17.37
73130 X-ray of hand, minimum of 3 views	50	43	$46.51	$29.69
87804 Detection test by immunoassay with direct visual observation for influenza virus	50	49	$24.66	$16.22
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$25.80	$16.17
73630 X-ray of foot, minimum of 3 views	34	32	$43.61	$27.70
74018 X-ray of abdomen, 1 view	33	30	$35.51	$26.05
73560 X-ray of knee, 1-2 views	31	30	$46.85	$28.98
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$52.30	$33.23
73030 X-ray of shoulder, minimum of 2 views	22	22	$43.61	$27.75
69209 Removal of impacted ear wax by washing	21	21	$16.23	$13.27
73110 X-ray of wrist, minimum of 3 views	20	20	$53.33	$32.39
73503 X-ray of hip with pelvis, minimum of 4 views	18	17	$78.09	$47.76
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	18	18	$100.25	$24.06
G0168 Wound closure utilizing tissue adhesive(s) only	16	13	$132.97	$97.38
20005 Incision and drainage of soft tissue abscess	14	14	$416.18	$301.60
73610 X-ray of ankle, minimum of 3 views	14	14	$46.85	$29.00
73080 X-ray of elbow, minimum of 3 views	14	14	$46.85	$29.85
71101 X-ray of ribs on side of body, minimum of 3 views	14	14	$54.89	$35.94
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$164.90	$105.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,808	441	$0.29	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	788	469	$108.00	$69.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	668	464	$36.83	$23.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	526	526	$160.09	$101.21
J0696 Injection, ceftriaxone sodium, per 250 mg	367	107	$1.37	$0.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	143	$151.49	$102.98
81002 Urinalysis, manual test	171	137	$5.54	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	169	169	$228.76	$154.24
71020 X-ray of chest, 2 views, front and side	154	135	$40.01	$26.22
94640 Inhalation treatment for airway obstruction or sputum production	85	78	$26.25	$16.96
36415 Insertion of needle into vein for collection of blood sample	55	48	$32.86	$2.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	31	$27.28	$16.11
94664 Evaluation of use of breathing device	29	25	$22.80	$15.92
74000 X-ray of abdomen, single view	29	28	$33.84	$22.06
73630 X-ray of foot, minimum of 3 views	27	26	$42.45	$26.88
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$25.52	$16.00
73110 X-ray of wrist, minimum of 3 views	24	23	$51.04	$32.91
73130 X-ray of hand, minimum of 3 views	23	22	$44.17	$28.28
73560 X-ray of knee, 1-2 views	20	20	$44.46	$28.71
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	20	20	$100.25	$21.98
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$51.19	$33.30
73610 X-ray of ankle, minimum of 3 views	19	17	$45.07	$29.48
G0168 Wound closure utilizing tissue adhesive(s) only	17	16	$132.97	$93.96
73030 X-ray of shoulder, minimum of 2 views	17	17	$42.52	$27.37
69209 Removal of impacted ear wax by washing	17	17	$16.23	$11.69
20005 Incision and drainage of soft tissue abscess	15	15	$416.18	$290.79
90471 Administration of 1 vaccine	14	14	$37.48	$23.70
73503 X-ray of hip with pelvis, minimum of 4 views	13	13	$93.26	$48.54

Medical Specialties & State Licenses

CMS Verified: 2025-09-24

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 59849

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License GA 59849

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

267883 (SC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Bryan Rainbolt , PA

Physician Assistant

NPI 1013577873

Physician Assistant

Jaclyn Gleske , PA-C

Physician Assistant

NPI 1073961850

Physician Assistant (Certified)

Melanie Rodriguez , PA

Physician Assistant

NPI 1154709780

Physician Assistant

Courtney Wilson , PA

Physician Assistant

NPI 1174168595

Physician Assistant

Alyssa Gattis , PA

Physician Assistant

NPI 1366114290

Physician Assistant

Madison Huth , PA

Physician Assistant

NPI 1437782851

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 11, 2025

Registered at 1300 PEACHTREE INDUSTRIAL BLVD STE 4101, SUWANEE, GA 300244542 (Tel: 7708315525)

📍

Updated Business Mailing Address October 17, 2023

Registered at 1300 PEACHTREE INDUSTRIAL BLVD STE 4101, SUWANEE, GA 300244542 (Tel: 7708315525)

✅

NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2011

Registered at 1300 PEACHTREE INDUSTRIAL BLVD, STE. #4101, SUWANEE, GA 300244539 (Tel: 7708315525)

📍

Updated Business Mailing Address January 25, 2011

Registered at 1300 PEACHTREE INDUSTRIAL BLVD, STE. #4101, SUWANEE, GA 300244539 (Tel: 7708315525)

👤

Provider Name / Credentials Updated January 25, 2011

Recorded as RONALD PERRY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Emergency Medicine (License #59849 in GA)

🟢

Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932123015

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2006

Last Update: September 24, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1300 Peachtree Industrial Blvd Ste 4101

Suwanee, GA 300244542

Phone: 7708315525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.