Active NPI
Charles George Perkins, MD
- Neurology Physician
- Soldotna, AK
National Provider Identifier
1255423869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- AA2407
- Practice address
- 167 Warehouse Ave
Suite C
Soldotna, AK 99669 - Phone
- (907) 262-6557
- Fax
- (907) 262-6559
- NPI assigned
- Sep 29, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | AA2407 | AK | Primary |
Addresses
Primary practice location
167 Warehouse Ave
Suite C
Soldotna, AK 99669
Mailing address
167 Warehouse Ave
Suite C
Soldotna, AK 99669
Phone (907) 262-6557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2407 | Medicaid | AK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA2407 | AK | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles G. Perkins | Past | Accepting new patients |
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.
-
- Clinic/Center
- Soldotna, AK
- NPI 1114232592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255423869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 WAREHOUSE AVE",
"address_2": "SUITE C",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "99669",
"telephone_number": "907-262-6557",
"fax_number": "907-262-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 WAREHOUSE AVE",
"address_2": "SUITE C",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "99669",
"telephone_number": "907-262-6557",
"fax_number": "907-262-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "CHARLES",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AK",
"license": "AA2407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD2407",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.