Active NPI
Robin Jeffers Perry, M.D.
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1780685123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C6652
- Practice address
- 4202 S University Ave
Little Rock, AR 72204-7841 - Phone
- (501) 562-4838
- Fax
- (501) 562-1958
- NPI assigned
- Aug 9, 2005
- Last updated
- Feb 10, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C6652 | AR | Primary |
Addresses
Primary practice location
4202 S University Ave
Little Rock, AR 72204-7841
Mailing address
4202 S University Ave
Little Rock, AR 72204-7841
Phone (501) 562-4838
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51513 | Other | AR | BLUE CROSS BLUE SHIELD |
| 11167000000 | Other | AR | QUALCHOICE |
| 120166 | Other | AR | UNITED HEALTHCARE |
| 113533001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6652 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1780685123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 S UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722047841",
"telephone_number": "501-562-4838",
"fax_number": "501-562-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 S UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722047841",
"telephone_number": "501-562-4838",
"fax_number": "501-562-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS PERRY",
"first_name": "ROBIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C6652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51513",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "11167000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "120166",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113533001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
- John Freeland Jayroe, MD
- Jayton a. Lim, M.D., P.a.
- Jcas2, Inc. (Elite Chiropractic)
- JCR Management Corporation (Baker HealthCare)
- Kaitlyn Michelle Jeffcoat, APRN
- Charles Darwin Jeffers, M.D.
- Teresa Renee Jeffers, MD
- Jefferson Comprehensive Care System, Inc (Little Rock Community Health Center)
- Jefferson Comprehensive Care System, Inc
- Jefferson Comprehensive Care System, Inc (Downtown Little Rock Community Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.