Individual provider Active NPI

Darlette R. Perkins, LPN

  • Licensed Practical Nurse
  • Sylvania, GA
National Provider Identifier
1073771291
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN025413 Issued in GA
Practice address
416 Pine St
Sylvania, GA 30467-2036
Phone
(912) 564-1282
Fax
(912) 564-7887
NPI assigned
May 23, 2008
Last updated
May 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN025413 GA Primary

Addresses

Primary practice location

416 Pine St
Sylvania, GA 30467-2036

Mailing address

416 Pine St
Sylvania, GA 30467-2036
Phone (912) 564-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN025413GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Screven County Health Department PastSince Jun 12, 2022 Accepting new patients
Screven County Health Department Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1073771291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PINE ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672036",
            "telephone_number": "912-564-1282",
            "fax_number": "912-564-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PINE ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672036",
            "telephone_number": "912-564-1282",
            "fax_number": "912-564-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DARLETTE",
        "middle_name": "R.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN025413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.