Individual provider Active NPI

John Talley Parrott, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Elgin, SC
National Provider Identifier
1073514139
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
10007 Issued in SC
Practice address
40 Pinnacle Pkwy Ste 100
Elgin, SC 29045-8390
Phone
(803) 438-0813
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 10007 SC Primary

Addresses

Primary practice location

40 Pinnacle Pkwy Ste 100
Elgin, SC 29045-8390

Mailing address

PO Box 402145
Atlanta, GA 30384-2145
Phone (803) 296-7305

Other practice location 1

1333 Taylor Street
Suite 3J
Columbia, SC 29201-2947
Phone (803) 296-7350

Other identifiers 1

IdentifierTypeStateIssuer
100072MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100224000806 SC Practitioner - Orthopedic Surgery 3072518356 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10007SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Dec 14, 2016 Accepting new patients
Musc Community Physicians Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 14, 2016 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Midlands Orthopaedics and Neurosurgery, PA Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1111 Mill St
Camden, SC 29020
Phone (803) 425-1330

1333 Taylor St
Ste 3J
Columbia, SC 29201
Phone (803) 296-7350

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

40 Pinnacle Pkwy
Ste 100
Elgin, SC 29045
Phone (803) 424-5160

40 Pinnacle Pkwy
Ste 208
Elgin, SC 29045
Phone (803) 424-5165

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1073514139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842145",
            "telephone_number": "803-296-7305",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY STE 100",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-438-0813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Taylor Street",
            "address_2": "Suite 3J",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012947",
            "country_code": "US",
            "telephone_number": "803-296-7350",
            "fax_number": "803-296-7354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARROTT",
        "first_name": "JOHN",
        "middle_name": "TALLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "10007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

Verify at the official NPI Registry.