Active NPI
Wiley A Parker, MD
- Otolaryngology Physician
- Atlanta, GA
National Provider Identifier
1043269574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 015499
- Practice address
- 5669 Peachtree Dunwoody Rd N
Ste 295
Atlanta, GA 30342 - Phone
- (404) 256-9822
- Fax
- (404) 256-0250
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 015499 | GA | Primary |
Addresses
Primary practice location
5669 Peachtree Dunwoody Rd N
Ste 295
Atlanta, GA 30342
Mailing address
5669 Peachtree Dunwoody Rd N
Ste 295
Atlanta, GA 30342
Phone (404) 256-9822
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 |
|---|---|---|---|
| 015499 | GA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1043269574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5669 PEACHTREE DUNWOODY RD N",
"address_2": "STE 295",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-256-9822",
"fax_number": "404-256-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5669 PEACHTREE DUNWOODY RD N",
"address_2": "STE 295",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-256-9822",
"fax_number": "404-256-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "WILEY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "015499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.