Individual provider Active NPI

Franklin Terry Perkins III, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Sierra Vista, AZ
National Provider Identifier
1174057830
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
64151 Issued in AZ
Practice address
3533 Canyon de Flores Ste a
Sierra Vista, AZ 85650-5366
Phone
(520) 685-3336
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 64151 AZ Primary

Addresses

Primary practice location

3533 Canyon de Flores Ste a
Sierra Vista, AZ 85650-5366

Mailing address

1921 Autumn Dr
Keller, TX 76262-4922
Phone (817) 223-0616

Other practice location 1

4502 E 41st St
Tulsa, OK 74135-2536
Phone (918) 660-3000

Other practice location 2

1111 S Saint Louis Ave
Tulsa, OK 74120-5440
Phone (918) 619-4600

Other names 1

  • Trey Perkins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907002350 AZ Practitioner - Family Practice 1355747932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64151AZMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kynetic Health, PLLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients

Locations

3533 Canyon de Flores
Ste A
Sierra Vista, AZ 85650
Phone (520) 231-1050

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1174057830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 AUTUMN DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762624922",
            "telephone_number": "817-223-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 CANYON DE FLORES STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505366",
            "telephone_number": "520-685-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352536",
            "country_code": "US",
            "telephone_number": "918-660-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 S Saint Louis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741205440",
            "country_code": "US",
            "telephone_number": "918-619-4600",
            "fax_number": "918-619-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "FRANKLIN",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "64151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREY",
            "last_name": "PERKINS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.