NPIMap

Individual provider Active NPI

Connie Perkins, DO

  • Obstetrics & Gynecology Physician
  • Ronceverte, WV
National Provider Identifier
1891713269
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1710 Issued in WV
Practice address
1322 Maplewood Ave Ste a
Ronceverte, WV 24970-8016
Phone
(304) 647-1161
Fax
(304) 647-3006
NPI assigned
Jul 17, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1710 WV Primary

Addresses

Primary practice location

1322 Maplewood Ave Ste a
Ronceverte, WV 24970-8016

Mailing address

1320 Maplewood Ave
Ronceverte, WV 24970-8016

Other identifiers 8

IdentifierTypeStateIssuer
5472643OtherWVAETNA
649678001OtherWVCIGNA
035OtherWVMTST BCBS
119357OtherWVANTHEM BCBS
160046203OtherWVRAILROAD MEDICARE
114262OtherWVSOUTHERN HEALTH
273677OtherWVMAMSI
6200073000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100510000309 WV Practitioner - Obstetrics/Gynecology 6901934116 Reassigns benefits to 1 organization
I20101110000253 VA Practitioner - Obstetrics/Gynecology 6901934116

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camc Greenbrier Valley Medical Center Inc Current Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Ronceverte Physician Group LLC Past Accepting new patients
Greenbrier VMC LLC Past Accepting new patients
Camc Greenbrier Valley Medical Center Inc Past Accepting new patients

Locations

810 Grayson Ave
Covington, VA 24426
Phone (304) 647-5114

1 Arh Ln
Ste 112
Low Moor, VA 24457
Phone (304) 647-5114

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

1322 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 647-1139

1322 Maplewood Ave
Ste A
Ronceverte, WV 24970
Phone (304) 647-1186

1521 Maplewood Ave
Ronceverte, WV 24970

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1891713269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 MAPLEWOOD AVE STE A",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-647-1161",
            "fax_number": "304-647-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CONNIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5472643",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "649678001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTST BCBS",
            "identifier": "035",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "119357",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160046203",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "114262",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "273677",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6200073000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

Verify at the official NPI Registry.