Rollin Morris Perkins IV, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

220 S Park Ave
Herrin, IL 62948-3612

Phone

(618) 988-9777

Fax

(618) 988-9097

NPI assigned

Dec 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13017/brand/1/csg/1/fhir/r4

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.

• Select Psychiatric Management Group LLC

  • Psychiatry Physician
  • Harrisburg, IL
  • NPI 1427345131
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1649453259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483612",
            "telephone_number": "618-988-9777",
            "fax_number": "618-988-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483612",
            "telephone_number": "618-988-9777",
            "fax_number": "618-988-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ROLLIN",
        "middle_name": "MORRIS",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Parrilli
• Kirsten Elisabeth Parrish, OTR/L
• Sarah Elizabeth Patula, RBT
• Paul C Jacobs Trevor Crabtree PTR
• Mary Jolynn Pentecost, PTA
• Kimberly Anne Peters, OT
• Rachel Peterson, PT
• Angelique Petree
• Frederick J Pfalzgraf, M.D.
• Jean Ann Phemister, PAC

• Physician Assistant in Herrin, IL
• Providers in Herrin, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.