Individual provider Active NPI

Jennifer Lynn Parker, D.O.

  • Obstetrics & Gynecology Physician
  • Statesville, NC
National Provider Identifier
1053687012
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2021-02757 Issued in NC
Practice address
1446 Fern Creek Dr
Statesville, NC 28625-9376
Phone
(704) 873-9617
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9642995-1204 UT
Obstetrics & Gynecology Physician 207V00000X 2021-02757 NC Primary

Addresses

Primary practice location

1446 Fern Creek Dr
Statesville, NC 28625-9376

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

Other practice location 1

522 S Van Buren Rd
Eden, NC 27288-5019
Phone (336) 627-1117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jparker1080836@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160720002001 UT Practitioner - Obstetrics/Gynecology 8022327220 Reassigns benefits to 1 organization
I20211021002607 NC Practitioner - Obstetrics/Gynecology 8022327220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

1446 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 873-9617

Hospital & facility affiliations

  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 1, 2016 Accepting new patients
Piedmont Healthcare, PA CurrentSince Dec 1, 2021 Accepting new patients
Piedmont Healthcare, P.a. Obstetrics & Gynecology CurrentSince Dec 1, 2021 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Sep 28, 2023 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

522 S Van Buren Rd
Eden, NC 27288
Phone (336) 627-1117

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

1446 Fern Creek Dr
Statesville, NC 28625
Phone (704) 873-9617

1804 Davie Ave
Statesville, NC 28677
Phone (704) 873-7250

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1000 N Main St
Ste A
Richfield, UT 84701
Phone (435) 893-0580

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

Interoperability endpoints

  • Direct secure messaging: jparker1080836@direct.unc.nchie.net
  • Direct secure messaging: jenniferparker@phc.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1053687012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-873-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 S Van Buren Rd",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885019",
            "country_code": "US",
            "telephone_number": "336-627-1117",
            "fax_number": "336-627-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "9642995-1204",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2021-02757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jparker1080836@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "522 S Van Buren Rd",
            "city": "Eden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272885019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.