NPIMap

Individual provider Active NPI

Todd Hayden Perkins, M.D.

  • Family Medicine Physician
  • Flowood, MS
National Provider Identifier
1649470097
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T-1827 Issued in MS
Practice address
4290 Lakeland Dr Ste a
Flowood, MS 39232-9571
Phone
(601) 932-0083
Fax
(601) 932-8124
NPI assigned
Jul 24, 2007
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T-1827 MS Primary

Addresses

Primary practice location

4290 Lakeland Dr Ste a
Flowood, MS 39232-9571

Mailing address

4290 Lakeland Dr
Flowood, MS 39232-9571
Phone (601) 932-0083

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address todd.perkins.1@4695.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080529000190 MS Practitioner - Family Practice 5799855086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1030 River Oaks Dr
Jackson, MS 39232-9553
Phone (601) 392-1030

4290 Lakeland Dr
Suite a
Flowood, MS 39232-9571
Phone (601) 932-0083

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-1827MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossgates Hma Medical Group, LLC CurrentSince Apr 1, 2010 Accepting new patients
River Oaks Management Company, Inc CurrentSince Apr 1, 2008 Accepting new patients
Crossgates Hma Medical Group LLC Family Medicine CurrentSince Apr 1, 2010 Accepting new patients
Reservoir Family Medical Clinic, PA Family Medicine Current Accepting new patients
River Oaks Management Company LLC Family Medicine Current Accepting new patients
Careplus Lakeview Family Medicine Family Medicine CurrentSince Apr 1, 2008 Accepting new patients

Locations

201 N College St
Ste 102
Brandon, MS 39042
Phone (601) 825-3074

1820 Hospital Dr
Jackson, MS 39204
Phone (601) 372-1514

4290 Lakeland Dr
Jackson, MS 39232
Phone (601) 832-0083

4290 Lakeland Dr
Ste A
Jackson, MS 39232
Phone (601) 932-0083

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4
  • Direct secure messaging: todd.perkins.1@4695.direct.athenahealth.com

Organizations & group practices 6

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 10

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1649470097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329571",
            "telephone_number": "601-932-0083",
            "fax_number": "601-932-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 LAKELAND DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329571",
            "telephone_number": "601-932-0083",
            "fax_number": "601-932-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "TODD",
        "middle_name": "HAYDEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-1827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "todd.perkins.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "4290 Lakeland Dr Ste A",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.