Individual provider Active NPI

Charles Louis Perkins III, M.D.

  • Radiation Oncology Physician
  • Gainesville, FL
National Provider Identifier
1851577183
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME105206 Issued in FL
Practice address
6420 W Newberry Rd
Gainesville, FL 32605-6621
Phone
(352) 333-5840
Fax
(352) 333-5841
NPI assigned
Jan 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 061319 GA
Radiation Oncology Physician 2085R0001X ME105206 FL Primary

Addresses

Primary practice location

6420 W Newberry Rd
Gainesville, FL 32605-6621

Mailing address

North Florida Radiation Oncology LLC
6420 W Newberry Rd
Gainesville, FL 32605-4308
Phone (352) 333-5840

Other identifiers 4

IdentifierTypeStateIssuer
P306529OtherFLFREEDOM HEALTH
109781100MedicaidFL
P513673OtherFLOPTIMUM
01357451OtherFLAQMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000298 FL Practitioner - Radiation Oncology 5597833327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6420 W Newberry Rd
Gainesville, FL 32605-6621
Phone (352) 333-5840

6420 W Newberry Rd E Wing
1 Florida Cancer Specialists P L
Gainesville, FL 32605-4308
Phone (352) 332-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105206FLMDPulmonary Disease Physician
061319GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Radiation Oncology CurrentSince Dec 31, 2018 Accepting new patients
North Florida Radiation Oncology LLC Radiation Oncology Current Accepting new patients
North Florida Radiation Oncology Radiation Oncology CurrentSince Aug 20, 2022 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

6420 W Newberry Rd
Ste 100WING
Gainesville, FL 32605

6420 W Newberry Rd
Gainesville, FL 32605
Phone (352) 331-1550

6420 W Newberry Rd
Ste 100
Gainesville, FL 32605
Phone (352) 332-3900

795 SW State Road 47
Lake City, FL 32025
Phone (386) 401-7066

1970 Golf St
Sarasota, FL 34236
Phone (941) 957-1000

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1851577183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH FLORIDA RADIATION ONCOLOGY LLC",
            "address_2": "6420 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054308",
            "telephone_number": "352-333-5840",
            "fax_number": "352-333-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056621",
            "telephone_number": "352-333-5840",
            "fax_number": "352-333-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CHARLES",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "061319",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME105206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "P306529",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109781100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P513673",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AQMERIGROUP",
            "identifier": "01357451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.