Individual provider Active NPI

Melanie Gayle Perkins, MSP. CCC-SLP

  • Speech-Language Pathologist
  • Columbia, SC
National Provider Identifier
1326405655
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
577 Issued in SC
Practice address
110 Highland Center Dr
Columbia, SC 29203-9247
Phone
(803) 408-3277
Fax
(803) 408-3299
NPI assigned
Jan 18, 2016
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 577 SC Primary

Addresses

Primary practice location

110 Highland Center Dr
Columbia, SC 29203-9247

Mailing address

106 Lincreek Dr
Columbia, SC 29212-8101

Other practice location 1

106 Lincreek Dr
Columbia, SC 29212-8101
Phone (803) 960-4384

Other identifiers 1

IdentifierTypeStateIssuer
SA1996MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SCENT@allmedsdirectmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314002264 SC Practitioner - Qualified Speech Language Pathologist 1557601325 Practice locations: Columbia, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins Adult Speech Services LLC Speech-Language Pathologist CurrentSince May 1, 2020 Accepting new patients
SC Fyzical, LLC PastSince May 31, 2020 Accepting new patients

Organizations & group practices 2

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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1326405655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LINCREEK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND CENTER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039247",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Lincreek Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292128101",
            "country_code": "US",
            "telephone_number": "803-960-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MELANIE",
        "middle_name": "GAYLE",
        "credential": "MSP. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1996",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCENT@allmedsdirectmail.com",
            "affiliation": "N",
            "address_1": "110 Highland Center Dr",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292039247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.