Ijeoma Mbanuzue Perkins, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-02550 Issued in NC

Practice address

105 Newsom St Ste 106
Durham, NC 27704-2197

Phone

(919) 321-0418

Fax

(919) 321-0401

NPI assigned

Sep 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ijeoma J Mbanuzue Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ijeoma.perkins.1@29163.direct.athenahealth.com
• Direct secure messaging: ijeoma.perkins.1@12412.direct.athenahealth.com

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.

• Tandem Primary Care, PLLC

  • Physician Assistant
  • Durham, NC
  • NPI 1467118059
  Medicare reassignment Authorized official
• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD (past)

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1649588989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWSOM ST STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWSOM ST STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042197",
            "telephone_number": "919-321-0418",
            "fax_number": "919-321-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "IJEOMA",
        "middle_name": "MBANUZUE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC1105O002",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "MBANUZUE",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Rebecca Perfect, MD
• John Perfect, M.D.
• Performax Physical Therapy and Sports Rehabilitation, LLC
• Marjorie Ann Perkins Shope, PHD
• Elizanette Perkins, OTD,OTR/L
• Juanita Consuela Perkins, FNP-BC
• Kina Kysonia Perkins, NP, PMHNP-BC
• Margaret Jane Perkins, RD, LDN
• Samuel A Perkins, LCMHC
• Scott Stephen Perkins, MD

• Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.