Active NPI
Ian Perkins, PA
- Physician Assistant
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08049
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-08049 | NC | MD | Physician Assistant |
| 0868 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group, Inc | Past | Accepting new patients | |
| Appledore Medical Group II Inc | Past | Accepting new patients | |
| Borthwick Emergency Physicians, LLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- ian.perkins@hca6.eclinicaldirectplus.com
- iperkins265031@directhisp.wakemed.org
- 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.
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Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.