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ETHAN EMORY PERKINS AGACNP-BC
NPI 1780204701
Nurse Practitioner - Acute Care in Covington, GA

Active since April 20, 2020
4142 MILL ST NE, COVINGTON, GA 30014(770) 787-3550 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2022, Jul 29, 2021, Apr 20, 2020 (3 updates tracked since 2020).

About Ethan Emory Perkins Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN EMORY PERKINS AGACNP-BC (NPI 1780204701) is an individual acute care provider in Covington, Georgia, licensed in Georgia (RN280873) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1780204701
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameETHAN EMORY PERKINSCredential: AGACNP-BC
Location Address4142 MILL ST NECovington, GA 30014-2540
Mailing Address4142 Mill St NeCovington, GA 30014-2540 · (770) 787-3550
Phone(770) 787-3550
Sole ProprietorNo
Enumeration DateApril 20, 2020
Last NPPES UpdateFebruary 2, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1780204701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN280873
4142 MILL ST NE, Covington, GA 30014
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS M BATH M.D.
Urology
4142 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 787-7311
HANOWELL SPINE CLINIC LLC
Pain Medicine (Pain Medicine)
4142 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 225-0098
MRS. REBEKAH LEE HAYES NP
Nurse Practitioner (Adult Health)
4142 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 225-0098
RALEIGH MAXEY NP
Nurse Practitioner (Family)
4142 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 787-3570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Perkins's NPI number?

The NPI number for Ethan Perkins is 1780204701. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Ethan Perkins located?

Ethan Perkins practices at 4142 Mill St NE, Covington, GA 30014. The listed phone number is (770) 787-3550.

What is Ethan Perkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Ethan Perkins was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.