Organization Active NPI

Sammy Perkins MD PC

  • Surgery Physician
  • Fernandina Beach, FL
National Provider Identifier
1952582660
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SAMMY PERKINS MD PC
Practice address
1340 S 18TH St
Suite 104
Fernandina Beach, FL 32034-4799
Phone
(904) 277-3277
Fax
(904) 277-3611
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Samuel E Perkins, M.D.
Title
Owner/ Physician
Phone
(904) 377-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1340 S 18TH St
Suite 104
Fernandina Beach, FL 32034-4799

Mailing address

1340 S 18TH St
Suite 104
Fernandina Beach, FL 32034-4799
Phone (904) 277-3277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1952582660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "address_2": "SUITE 104",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344799",
            "telephone_number": "904-277-3277",
            "fax_number": "904-277-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "address_2": "SUITE 104",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344799",
            "telephone_number": "904-277-3277",
            "fax_number": "904-277-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMY PERKINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "904-377-3277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.