Active NPI
Joan Templeton Perry, MD
- Pediatrics Physician
- Kinston, NC
National Provider Identifier
1528042728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 28828
- Practice address
- 2509 N Queen St
Kinston, NC 28501-1632 - Phone
- (252) 522-0335
- Fax
- (252) 522-4016
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28828 | NC | Primary |
Addresses
Primary practice location
2509 N Queen St
Kinston, NC 28501-1632
Mailing address
PO Box 2429
Kinston, NC 28502-2429
Phone (252) 522-0335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66976 | Other | BCBS NC | |
| 8966976 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28828 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinston Community Health Center, Inc | Past | Accepting new patients | |
| Kinston Pediatric Associates PA | Pediatrics | Past | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1528042728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2429",
"city": "KINSTON",
"state": "NC",
"postal_code": "285022429",
"telephone_number": "252-522-0335",
"fax_number": "252-522-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 N QUEEN ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011632",
"telephone_number": "252-522-0335",
"fax_number": "252-522-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JOAN",
"middle_name": "TEMPLETON",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "28828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "66976",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8966976",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.