Individual provider Active NPI

Angela Parker

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1013483767
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN170270 Issued in GA
Practice address
625 Carver Rd
Griffin, GA 30224
Phone
(770) 227-9222
NPI assigned
Oct 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN170270 GA Primary

Addresses

Primary practice location

625 Carver Rd
Griffin, GA 30224

Mailing address

625 Carver Rd
Griffin, GA 30224-3937
Phone (770) 227-9222

Other practice location 1

125 W Main St
Cartersville, GA 30120
Phone (615) 425-4200

Other practice location 2

125 W Main St
Cartersville, GA 30120
Phone (615) 425-4200

Other practice location 3

125 W Main St
Cartersville, GA 30120
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_aparke67@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1013483767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CARVER RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243937",
            "telephone_number": "770-227-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CARVER RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "770-227-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "30120",
            "country_code": "US",
            "telephone_number": "615-425-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "30120",
            "country_code": "US",
            "telephone_number": "615-425-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "30120",
            "country_code": "US",
            "telephone_number": "615-425-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN170270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.