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1215471479 NPI number — DEANA PERKINS NP

NPI Number: 1215471479
Health Care Provider/Practitioner: DEANA PERKINS NP

Information about “1215471479” NPI (DEANA PERKINS NP) exists in 1215471479 in HTML format HTML  |  1215471479 in plain Text format TXT  |  1215471479 in PDF (Portable Document Format) PDF  |  1215471479 in an XML format XML  formats.

NPI Number : 1215471479 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215471479",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERKINS",
    "FirstName": "DEANA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "756 ARROWHEAD LAKE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THOMASTON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30286-5004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-862-2053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "702 VETERANS PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BARNESVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30204-3470",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "943-202-8200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/07/2016",
    "LastUpdateDate": "04/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207QG0300X",
          "TaxonomyName": "Geriatric Medicine (Family Medicine) Physician",
          "LicenseNumber": "RN205936",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "RN205936",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "NCO-000003",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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