Active NPI
Miriam Parker, MD
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1063411924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 040511
- Practice address
- 285 Boulevard NE
Suite 140
Atlanta, GA 30312-4205 - Phone
- (404) 265-1044
- Fax
- (404) 265-1047
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 040511 | GA | Primary |
Addresses
Primary practice location
285 Boulevard NE
Suite 140
Atlanta, GA 30312-4205
Mailing address
285 Boulevard NE 525
Atlanta, GA 30312-4211
Phone (404) 265-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00675045 E, F, H | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mparker123240@directwellstar.org |
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
Interoperability endpoints
- miriam.parker.p48@direct.tenet.nextgenshare.com
- miriam.parker.p50@direct.tenet.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1063411924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE 525",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124211",
"telephone_number": "404-265-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE",
"address_2": "SUITE 140",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124205",
"telephone_number": "404-265-1044",
"fax_number": "404-265-1047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MIRIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "040511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00675045 E, F, H",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mparker123240@directwellstar.org",
"affiliation": "N",
"address_1": "285 Boulevard NE",
"address_2": "Suite 140",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303124205",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 11, 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.