Active NPI
Tracy Morrison Parks, M.D.
- Family Medicine Physician
- Morris, AL
National Provider Identifier
1023085602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00017426
- Practice address
- 586 Morris Majestic Rd
Morris, AL 35116-1245 - Phone
- (205) 933-4242
- Fax
- (205) 647-0561
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00017426 | AL | Primary |
Addresses
Primary practice location
586 Morris Majestic Rd
Morris, AL 35116-1245
Mailing address
586 Morris Majestic Rd
Morris, AL 35116-1245
Phone (205) 933-4242
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051504708 | Other | AL | BLUE SHIELD |
| 303769362 | Medicaid | AL | |
| G590 | Other | AL | MEDICARE GROUP NUMBER |
| 1700891538 | Other | AL | MEDICARE GROUP G590 NPI |
Other names 1
- Miss Tracy Karen Morrison
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00017426 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1023085602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 MORRIS MAJESTIC RD",
"city": "MORRIS",
"state": "AL",
"postal_code": "351161245",
"telephone_number": "205-933-4242",
"fax_number": "205-647-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 MORRIS MAJESTIC RD",
"city": "MORRIS",
"state": "AL",
"postal_code": "351161245",
"telephone_number": "205-933-4242",
"fax_number": "205-647-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "TRACY",
"middle_name": "MORRISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00017426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "051504708",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303769362",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "G590",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP G590 NPI",
"identifier": "1700891538",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "MORRISON",
"middle_name": "KAREN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Morris, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.