Individual provider Active NPI

Matthew Lane Perkins, MD

  • Internal Medicine Physician
  • Smyrna, TN
National Provider Identifier
1346238656
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30523 Issued in TN
Practice address
741 President PL
Suite 200
Smyrna, TN 37167-6807
Phone
(615) 459-7104
Fax
(615) 459-7822
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30523 TN Primary
Pediatrics Physician 208000000X 30523 TN

Addresses

Primary practice location

741 President PL
Suite 200
Smyrna, TN 37167-6807

Mailing address

741 President PL
Suite 200
Smyrna, TN 37167-6807
Phone (615) 459-7104

Other identifiers 1

IdentifierTypeStateIssuer
3832117MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050520000354 TN Practitioner - Internal Medicine 6002702230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Medicine and Pediatrics PCGroup PAC ID 7719873934, 11 clinicians

Practice addresses (Care Compare)

741 President PL
Suite 200
Smyrna, TN 37167-6809
Phone (615) 721-9676

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Murfreesboro, TN, CCN 447296
  • Amedisys Home Health Care Home health agency, Smyrna, TN, CCN 447563
  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30523TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Medicine & Pediatrics PC Internal Medicine CurrentSince Dec 1, 2000 Accepting new patients
Tennessee Medicine & Pediatrics Current Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Saint Thomas Rutherford Hospital Past Accepting new patients

Locations

1747 Medical Center Pkwy
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-1902

741 President Pl
Ste 200
Smyrna, TN 37167
Phone (615) 459-7104

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1346238656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-459-7104",
            "fax_number": "615-459-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-459-7104",
            "fax_number": "615-459-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MATTHEW",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "30523",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "30523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832117",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.