DR. ISSAC PERKINS (NPI# 1336242239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336242239 |
| Entity Type | Individual |
| Full Name | DR. ISSAC PERKINS |
| Credential | M.D. |
| Practice Address |
1850 Chadwick Dr Jackson MS 39204-3404 |
| Mailing Address |
2550 Flowood Dr Ste 402 Flowood MS 39232-9307 |
| Practice Telephone | 6013762832 |
| Practice Fax Number | 6019361260 |
| Mailing Telephone | 6013762832 |
| Mailing Fax Number | 6019361260 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11304 | MS | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 11304 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | P01237616 | 01 |
| MS | 03559373 | 05 |
| Street Address |
1850 CHADWICK DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969724 | Steven E Zachow | Radiology | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2005-06-01 |
| 1346847274 | Devon Allred | Specialist/Technologist, Other | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-10-05 |
| 1194345991 | Jackson Hma LLC | Clinical Medical Laboratory | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-04-21 |
| 1174166383 | Amanda Brittany Busch | Nurse Practitioner | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-10-21 |
| 1184183725 | Mary Arnetta Sangster | Spec/Tech, Cardiovascular | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-03-13 |
| 1265904593 | Matthew Burkhalter | Physician Assistant | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-27 |
| 1023580693 | John Tyler Mclendon | Nurse Anesthetist, Certified Registered | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-20 |
| 1720562820 | Caleb Creel | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-09-24 |
| 1508346222 | Veronica Barton | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-08-21 |
| 1730687740 | App of Mississippi Ed, LLC | Emergency Medicine | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235329038 | River Oaks Management Company, LLC | Hospitalist | 1850 Chadwick Drive, Jackson, MS 39204-3404 | 2007-07-27 |
| 1720635188 | West Tennessee Healthcare Hospitalists Inc | Hospitalist | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-21 |
| 1811420524 | Dong Wang | Hospitalist | 620 Skyline Dr, Jackson, TN 38301-3923 | 2017-04-10 |
| 1437682853 | Mark Lelli Jr. | Hospitalist | 2500 N State St, Jackson, MS 39216-4500 | 2017-04-04 |
| 1073051199 | W.a. Foote Memorial Hospital, Inc | Hospitalist | 205 N. East Ave, Attn: Provider Enrollment, Jackson, MI 49201 | 2017-02-09 |
| 1306383278 | W.a. Foote Memorial Hospital, Inc | Hospitalist | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1104362292 | St. Dominic Hospital Medicine LLC | Hospitalist | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2017-01-12 |
| 1902260045 | Nicholas D Chamberlain | Hospitalist | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-05 |
| 1962867093 | Mississippi Baptist Medical Center, Inc | Hospitalist | 1225 N State St, Jackson, MS 39202-2064 | 2015-12-16 |
| 1376926378 | Parijat Mathur | Hospitalist | 205 N East Ave, Jackson, MI 49201-1753 | 2015-07-08 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.