Organization Active NPI

James Lake Parker

Doing business as James L Parker MD

  • Family Medicine Physician
  • Aliceville, AL
National Provider Identifier
1174913966
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21969 Issued in AL
Legal business name
JAMES LAKE PARKER
Doing business as
James L Parker MD
Practice address
100 5TH St NE
Aliceville, AL 35442-2200
Phone
(205) 373-1574
Fax
(205) 373-2653
NPI assigned
Jan 31, 2015
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Dr. James Lake Parker, M.D.NPI 1841219391
Title
Physician/Owner
Phone
(205) 373-1574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 21969 AL Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1-109137 AL

Addresses

Primary practice location

100 5TH St NE
Aliceville, AL 35442-2200

Mailing address

PO Box 452
Aliceville, AL 35442-0452
Phone (205) 373-1574

Other names 1

  • James L Parker MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151005000336 AL Part B Supplier - Clinic/Group Practice 4486962826 Receives reassigned benefits from 2 practitioners
Practice locations: Aliceville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0976849James L Parker MD100 5TH Street NE, Aliceville, AL 35442Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

100 5th St NE
Aliceville, AL 35442
Phone (205) 373-1574

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1174913966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "354420452",
            "telephone_number": "205-373-1574",
            "fax_number": "205-373-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 5TH ST NE",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "354422200",
            "telephone_number": "205-373-1574",
            "fax_number": "205-373-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES LAKE PARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAKE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "205-373-1574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21969",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James L Parker MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliceville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.