Individual provider Active NPI

Tamika Parks-Neely

  • Certified Registered Nurse Anesthetist
  • Augusta, GA
National Provider Identifier
1083962757
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN170762 Issued in GA
Practice address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone
(800) 394-4445
NPI assigned
Aug 28, 2012
Last updated
May 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN170762 GA Primary

Addresses

Primary practice location

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Mailing address

60 Hospital Rd
Newnan, GA 30263-1210

Other names 1

  • Tamika Parks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121008000622 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840449856 Reassigns benefits to 5 organizations
I20251230002771 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840449856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians
Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians
Elite Anesthesia Solutions LLCGroup PAC ID 6305263815, 17 clinicians

Practice addresses (Care Compare)

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 882-1411

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579

2616 Warm Springs Rd
Suite B
Columbus, GA 31904-5688
Phone (706) 507-2200

4800 48TH St
Valley, AL 36854-3666
Phone (334) 756-9180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN170762GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 9, 2023 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Sep 13, 2021 Accepting new patients
Elite Anesthesia Solutions, LLC CurrentSince Mar 17, 2025 Accepting new patients
Columbus Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2023 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Sep 1, 2012 Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

4800 48th St
Valley, AL 36854
Phone (334) 756-1401

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1130 Talbotton Rd
Ste B
Columbus, GA 31904
Phone (706) 327-0700

2000 Hamilton Rd
Columbus, GA 31904
Phone (706) 324-4891

2421 Brookstone Centre Pkwy
Columbus, GA 31904

2430 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 494-7700

2616 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 243-0016

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

804 Scott Nixon Memorial Dr
Martinez, GA 30907

60 Hospital Rd
Newnan, GA 30263
Phone (770) 253-1912

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1083962757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "800-394-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS-NEELY",
        "first_name": "TAMIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN170762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMIKA",
            "last_name": "PARKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.