NPI age
15 years
Enumerated 2011-02-28
● Active
Type 1 · Individual
Jason Peragallo, MD
Peragallo is 1 of 169 ophthalmology providers in Atlanta and 1 of 807 in Georgia.
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-12-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 807 active ophthalmology providers in Georgia.
NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Practice location
1365b Clifton Rd Ne
Atlanta, GA 303221013
Mailing address
1365b Clifton Rd Ne
Atlanta, GA 303221013
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (CA) | 0A1168470 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 50 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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