Active NPI
Robert Sandborn Perkins, MD
- Family Medicine Physician
- Shelby, NC
National Provider Identifier
1104896232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27277
- Practice address
- 808 Schenck St
Cleco Medical Center of Shelby
Shelby, NC 28150-3934 - Phone
- (704) 484-3647
- Fax
- (704) 471-2727
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27277 | NC | Primary |
Addresses
Primary practice location
808 Schenck St
Cleco Medical Center of Shelby
Shelby, NC 28150-3934
Mailing address
808 Schenck St
Cleco Primary Care Network
Shelby, NC 28150-3934
Phone (704) 484-3647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8966816 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1104896232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 SCHENCK ST",
"address_2": "CLECO PRIMARY CARE NETWORK",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503934",
"telephone_number": "704-484-3647",
"fax_number": "704-471-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 SCHENCK ST",
"address_2": "CLECO MEDICAL CENTER OF SHELBY",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503934",
"telephone_number": "704-484-3647",
"fax_number": "704-471-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "ROBERT",
"middle_name": "SANDBORN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "27277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8966816",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.