TONYA BAKER PERKINS NP
NPI 1831618826
Nurse Practitioner - Gerontology in Charleston, SC

Active since September 12, 2017PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2021, Sep 17, 2017 (2 updates tracked since 2017).

About Tonya Baker Perkins Np NPPES

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

TONYA BAKER PERKINS NP (NPI 1831618826) is an individual gerontology provider in Charleston, South Carolina, licensed in South Carolina (21272) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831618826
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTONYA BAKER PERKINSCredential: NP
Location Address171 ASHLEY AVECharleston, SC 29425-4263
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 12, 2017
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1831618826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in SC · 21272
171 ASHLEY AVE, Charleston, SC 29425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonya Baker Perkins Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547536393
PECOS Enrollment IDI20171023000620
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Tonya Perkins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,594 clinicians in this Medicare group
Anesthesiology
1330 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
Cardiovascular Disease
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 389 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

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 Tonya Perkins's NPI number?

The NPI number for Tonya Perkins is 1831618826. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Tonya Perkins located?

Tonya Perkins practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Tonya Perkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tonya Perkins enrolled in Medicare?

Yes. Tonya Perkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tonya Perkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Perkins reassigns Medicare benefits to 3 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC), Prisma Health University Medical Group (Columbia, SC) and Bon Secours Medical Group Greenville Specialty Care LLC (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Perkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Perkins accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Tonya Perkins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tonya Perkins affiliated with any hospitals?

According to CMS data, Tonya Perkins is affiliated with Musc Medical Center and St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for Tonya Perkins was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.