Individual provider Active NPI

Audra Justine Parker, M.D.

  • Internal Medicine Physician
  • Reynoldsburg, OH
National Provider Identifier
1073737763
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.089458 Issued in OH
Practice address
8050 E Main St Ste 2200
Reynoldsburg, OH 43068-2652
Phone
(614) 864-6010
Fax
(614) 864-0306
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 35.089458 OH Primary

Addresses

Primary practice location

8050 E Main St Ste 2200
Reynoldsburg, OH 43068-2652

Mailing address

8050 E Main St Ste 2200
Reynoldsburg, OH 43068-2652
Phone (614) 864-6010

Other identifiers 1

IdentifierTypeStateIssuer
2767779MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070824000502 OH Practitioner - Internal Medicine 4880786607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4895 Olentangy River Rd
Columbus, OH 43214-1185

625 Africa Rd
Westerville, OH 43082-0002

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

8050 E Main St
Renoldsburg, OH 43068-2652

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 1, 2007 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

8050 E Main St
Ste 2200
Reynoldsburg, OH 43068
Phone (614) 367-0585

6421 E Main St
Reynoldsburg, OH 43068
Phone (614) 755-3000

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: aparker18942@copcp.medicity.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1073737763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E MAIN ST STE 2200",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682652",
            "telephone_number": "614-864-6010",
            "fax_number": "614-864-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E MAIN ST STE 2200",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682652",
            "telephone_number": "614-864-6010",
            "fax_number": "614-864-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AUDRA",
        "middle_name": "JUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.089458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2767779",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.