Individual provider Active NPI

Ian Perkins, PA

  • Physician Assistant
  • Sanford, NC
National Provider Identifier
1154637932
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08049 Issued in NC
Practice address
1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070
Phone
(919) 439-9251
NPI assigned
Aug 31, 2010
Last updated
May 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0868 NH
Physician Assistant 363A00000X 0010-08049 NC Primary

Addresses

Primary practice location

1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070

Mailing address

1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070
Phone (919) 439-9251

Other practice location 1

959 East St Ste B
Pittsboro, NC 27312-8861
Phone (919) 636-7585

Other practice location 2

100 S 10th St
Lillington, NC 27546-6690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717000476 NC Practitioner - Physician Assistant 8628262847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Dermatology, PLLCGroup PAC ID 1355560152, 5 clinicians

Practice addresses (Care Compare)

100 S 10TH St
Lillington, NC 27546-6690
Phone (919) 775-7926

1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070
Phone (919) 775-7926

Merit-based Incentive Payment System (MIPS)

Final score
97.4 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-08049NCMDPhysician Assistant
0868NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc Past Accepting new patients
Appledore Medical Group II Inc Past Accepting new patients
Borthwick Emergency Physicians, LLC Physician Assistant PastSince Dec 15, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ian.perkins@hca6.eclinicaldirectplus.com
  • Direct secure messaging: iperkins265031@directhisp.wakemed.org
  • Direct secure messaging: iperkins354417@direct.unc.nchie.net

Organizations & group practices 6

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1154637932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070",
            "telephone_number": "919-439-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070",
            "telephone_number": "919-439-9251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 East St Ste B",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273128861",
            "country_code": "US",
            "telephone_number": "919-636-7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275466690",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "IAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0868",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.