Active NPI
Gregory K. Parker, M.D.
- Internal Medicine Physician
- Mobile, AL
National Provider Identifier
1063428415
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11523
- Practice address
- 1308 Old Shell Rd
Mobile, AL 36604-2230 - Phone
- (251) 432-0680
- Fax
- (251) 432-0917
- NPI assigned
- Jul 31, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11523 | AL | Primary |
Addresses
Primary practice location
1308 Old Shell Rd
Mobile, AL 36604-2230
Mailing address
1308 Old Shell Rd
Mobile, AL 36604-2230
Phone (251) 432-0680
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51015626 | Other | AL | BLUE CROSS BLUE SHIELD |
| 0410399 | Other | AL | MEDICARE COMPLETE |
| C73843 | Other | AL | SENIORS FIRST |
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 |
|---|---|---|---|
| 11523 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Infirmary Association | Past | Accepting new patients | |
| Mobile Emergency Group PC | Past | Accepting new patients |
Networks
- bcbs alabama network 01B0
- bcbs alabama network 01G0
- bcbs alabama network 01C0
- bcbs alabama network 01H0
- bcbs alabama network 01A0
- bcbs alabama network 01E0
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1932166287
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063428415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042230",
"telephone_number": "251-432-0680",
"fax_number": "251-432-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042230",
"telephone_number": "251-432-0680",
"fax_number": "251-432-0917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "GREGORY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "11523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51015626",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE COMPLETE",
"identifier": "0410399",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIORS FIRST",
"identifier": "C73843",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.