Edward M. Parker Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010161 Issued in GA

Practice address

720 S 8TH St
Griffin, GA 30224-4827

Phone

(770) 229-9316

Fax

(770) 229-9317

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1093735391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244827",
            "telephone_number": "770-229-9316",
            "fax_number": "770-229-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244827",
            "telephone_number": "770-229-9316",
            "fax_number": "770-229-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "EDWARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL PROVIDER NUMBER",
            "identifier": "9181268",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00359785A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS PROVIDER NUMBER",
            "identifier": "100811",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain Management Specialists of Atlanta P C
• Pain Management Specialists of Atlanta, PC
• Theofanis Pantazis, MS CCC-SLP
• Allison Danielle Parker, FNP
• Angela Parker
• Chandra Parks, REGISTERED NURSE
• Akshar Y Patel, MD
• Hetal A Patel, OD
• Kamlesh Patel, MD
• Manhar N Patel, MD

• General Practice Dentistry in Griffin, GA
• Providers in Griffin, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.