Individual provider Active NPI

Paige Kimbrell Parker, D.O.

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1053721282
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01084 Issued in NC
Practice address
1205 N Center St
Hickory, NC 28601-3759
Phone
(828) 324-1699
NPI assigned
Apr 28, 2014
Last updated
Aug 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017-01084 NC Primary

Addresses

Primary practice location

1205 N Center St
Hickory, NC 28601-3759

Mailing address

1205 N Center St
Hickory, NC 28601-3759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170928003952 NC Practitioner - Family Practice 8729208442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

1205 N Ctr St
Hickory, NC 28601-3759
Phone (828) 732-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01084NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Aug 14, 2017 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

1205 N Center St
Hickory, NC 28601
Phone (828) 328-2901

24 2nd Ave NE
Hickory, NC 28601
Phone (828) 324-9900

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: paige.parker@cvmg.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1053721282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013759",
            "telephone_number": "828-324-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PAIGE",
        "middle_name": "KIMBRELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.