NPIMap

Individual provider Active NPI

Casey Jean Moriah Perkins

  • Nurse Practitioner
  • Union, SC
National Provider Identifier
1497479349
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25888 Issued in SC
Practice address
327 W South St
Union, SC 29379-2838
Phone
(864) 441-0802
Fax
(864) 441-0801
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25888 SC Primary

Addresses

Primary practice location

327 W South St
Union, SC 29379-2838

Mailing address

327 W South St
Union, SC 29379-2838
Phone (864) 441-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122001614 SC Practitioner - Nurse Practitioner 3870961816 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Medical CenterGroup PAC ID 2264749308, 14 clinicians

Practice addresses (Care Compare)

1201 Furman L Fendley Hwy
Union, SC 29379-7419

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25888SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Primary Care of Union PC CurrentSince Aug 1, 2022 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Cherokee Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Cherokee Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Union Medical Center Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Union Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone 8645873000 ext. 86458

1201 Furman L Fendley Hwy
Ste A
Union, SC 29379
Phone (864) 429-8029

128 Medical Sciences Dr
Union, SC 29379
Phone (864) 427-4200

327 W South St
Union, SC 29379
Phone (864) 429-0115

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1497479349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W SOUTH ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792838",
            "telephone_number": "864-441-0802",
            "fax_number": "864-441-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W SOUTH ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792838",
            "telephone_number": "864-441-0802",
            "fax_number": "864-441-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CASEY JEAN",
        "middle_name": "MORIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.