Active NPI
James Dean Perkins, M.D.
- Emergency Medicine Physician
- Meridian, MS
National Provider Identifier
1265623342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21615
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 703-9260
- Fax
- (601) 703-4050
- NPI assigned
- Aug 5, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21615 | MS | Primary |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
PO Box 5183
Meridian, MS 39302-5183
Phone (601) 703-4282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09803331 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110719000332 | MS | Practitioner - Emergency Medicine | 5597933523 | Reassigns benefits to 1 organization |
| I20150409002116 | TN | Practitioner - Emergency Medicine | 5597933523 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21615 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Mississippi Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Mississippi Physicians LLP | Emergency Medicine | Current | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1902174832
Emergency Medicine, MS
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1982011714
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383955200000",
"number": "1265623342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5183",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025183",
"telephone_number": "601-703-4282",
"fax_number": "601-703-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 19TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014116",
"telephone_number": "601-703-9260",
"fax_number": "601-703-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "JAMES",
"middle_name": "DEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2013-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "21615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09803331",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.