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Ryan Darrell Berry

Internal Medicine

Allopathic & Osteopathic Physicians

725 Jesse Jewell Pkwy SE, Gainesville, GA 30501-3834

PECOS Enrollment

This provider is enrolled in PECOS as RYAN BERRY.

Based on the most recent information from CMS, provider Ryan Darrell Berry is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1154881118
Provider Type
Individual
Full Name
Berry, Ryan Darrell
Credential
MD, PHD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/24/2019
Last Updated
8/8/2022

Contact Information

Practice Location

725 Jesse Jewell Pkwy SE, Gainesville, GA 30501-3834

(705) 535-0191

(770) 533-4786

Mailing Location

PO Box 658, Gainesville, GA 30503-0658

(707) 181-1227

(770) 533-4786

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 91158 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ryan Darrell Berry

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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