Individual provider Active NPI

Miriam Parker, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1063411924
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040511 Issued in GA
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

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00675045 E, F, HMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

  • Direct secure messaging: miriam.parker.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: 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.

Verify at the official NPI Registry.