Individual provider Active NPI

Christina Perkins, FNP

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1265924807
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
KAMM-ENSZBI Issued in MS
Practice address
1006 Treetops Blvd Ste 101
Flowood, MS 39232-7645
Phone
(601) 939-0005
NPI assigned
May 30, 2018
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X KAMM-ENSZBI MS Primary

Addresses

Primary practice location

1006 Treetops Blvd Ste 101
Flowood, MS 39232-7645

Mailing address

1006 Treetops Blvd
Ste 101
Flowood, MS 39232-7645
Phone (601) 939-0005

Other practice location 1

2659 Lakeland Dr
Flowood, MS 39232-9516
Phone (601) 939-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190722001626 MS Practitioner - Nurse Practitioner 5597091090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Dermatology Associates, PLLCGroup PAC ID 4688836521, 5 clinicians

Practice addresses (Care Compare)

1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645
Phone (601) 939-0005

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
KAMM-ENSZBIMSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Dermatology Associates, PLLC CurrentSince May 1, 2019 Accepting new patients

Locations

1006 Treetops Blvd
Ste 101
Flowood, MS 39232
Phone (601) 939-0005

2659 Lakeland Dr
Jackson, MS 39232
Phone (601) 933-1199

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, 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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1265924807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD",
            "address_2": "STE 101",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-0005",
            "fax_number": "601-936-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD STE 101",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2659 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329516",
            "country_code": "US",
            "telephone_number": "601-939-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "KAMM-ENSZBI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.