Active NPI
Stephen E Parks, MD
- Family Medicine Physician
- Simpsonville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10976
- Practice address
- 35 Ray E Talley CT
Simpsonville, SC 29680-6772 - Phone
- (864) 967-7028
- Fax
- (864) 228-0915
- NPI assigned
- Apr 26, 2006
- Last updated
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10976 | SC | Primary |
| Emergency Medicine Physician | 207P00000X | 10976 | SC |
Addresses
Primary practice location
35 Ray E Talley CT
Simpsonville, SC 29680-6772
Mailing address
1818 Henderson St
Columbia, SC 29201-2647
Phone (803) 782-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109769 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1027 Physicians Dr
Suite 220
Charleston, SC 29414-5352
Phone (803) 771-7740
110 Mutual Dr
Anderson, SC 29621-1767
Phone (800) 809-1265
141 Halton Village Cir
Greenville, SC 29607-6825
Phone (864) 370-3900
1551 Westbrook Plaza Dr
Suite 100
Winston Salem, NC 27103-1355
Phone (743) 999-7220
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10976 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Infusion Services LLC | Current | Accepting new patients |
Locations
3315 Springbank Ln
Ste 100
Charlotte, NC 28226
Phone (704) 200-9482
1551 Westbrook Plaza Dr
Ste 100
Winston Salem, NC 27103
Phone (743) 999-7220
110 Mutual Dr
Anderson, SC 29621
1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588
141 Halton Village Cir
Greenville, SC 29607
Phone (864) 370-3900
1650 Skylyn Dr
Ste 350
Spartanburg, SC 29307
Phone (864) 699-9771
3105 Sunset Blvd
West Columbia, SC 29169
Phone (843) 314-2060
Organizations & group practices 1
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.
-
dba Palmetto Infusion Services
- Infusion Therapy Clinic/Center
- West Columbia, SC
- NPI 1265462659
NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1154387140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 HENDERSON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012647",
"telephone_number": "803-782-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 RAY E TALLEY CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806772",
"telephone_number": "864-967-7028",
"fax_number": "864-228-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "STEPHEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "10976",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "10976",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109769",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.