Individual provider Active NPI

Jessica Anne Parker, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1114636859
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN248668 Issued in GA
Practice address
887 W Marietta St NW
Atlanta, GA 30318-5252
Phone
(888) 772-0076
Fax
(770) 751-8014
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN248668 GA Primary

Addresses

Primary practice location

887 W Marietta St NW
Atlanta, GA 30318-5252

Mailing address

4226 Whitaker Rd
Harlem, GA 30814-4718
Phone (706) 755-8549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112002698 GA Practitioner - Nurse Practitioner 5890166680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chronic Disease Management of Georgia LLCGroup PAC ID 7618306721, 76 clinicians

Practice addresses (Care Compare)

704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN248668GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FX Spine and Performance Center, LLC CurrentSince Jan 18, 2024 Accepting new patients
Transitional Care Physicians of Georgia PC CurrentSince Jan 15, 2023 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

887 W Marietta St NW
Atlanta, GA 30318
Phone (888) 772-0076

106 Srp Dr
Ste B
Evans, GA 30809
Phone (706) 842-6800

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

Interoperability endpoints

  • Direct secure messaging: jessica.parker.1@22189.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22189/brand/1/csg/1/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1114636859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 WHITAKER RD",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308144718",
            "telephone_number": "706-755-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 W MARIETTA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185252",
            "telephone_number": "888-772-0076",
            "fax_number": "770-751-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.