Individual provider Active NPI

Mindy Alicia Parks, NP-C

  • Nurse Practitioner
  • High Point, NC
National Provider Identifier
1194350561
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012961 Issued in NC
Practice address
1380 Eastchester Dr Ste 105
High Point, NC 27265-2659
Phone
(336) 660-6338
Fax
(336) 307-3226
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012961 NC Primary

Addresses

Primary practice location

1380 Eastchester Dr Ste 105
High Point, NC 27265-2659

Mailing address

1380 Eastchester Dr Ste 105
High Point, NC 27265-2659
Phone (336) 660-6338

Other practice location 1

518 S Van Buren Rd Ste 7
Eden, NC 27288-5017
Phone (336) 627-6182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200421003195 NC Practitioner - Nurse Practitioner 9537599170 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Internal Medicine PLLC Internal Medicine CurrentSince Aug 4, 2021 Accepting new patients
Morehead Memorial Hospital Current Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Unc Rockingham Health Care, Inc. CurrentSince Apr 16, 2020 Accepting new patients
NC Elder Care PLLC Internal Medicine PastSince Apr 1, 2023 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

Interoperability endpoints

  • Direct secure messaging: mindy.miller@himashe.eclinicaldirectplus.com
  • Direct secure messaging: mmiller139272@direct.unc.nchie.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1194350561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 EASTCHESTER DR STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652659",
            "telephone_number": "336-660-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 EASTCHESTER DR STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652659",
            "telephone_number": "336-660-6338",
            "fax_number": "336-307-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 S Van Buren Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885017",
            "country_code": "US",
            "telephone_number": "336-627-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MINDY",
        "middle_name": "ALICIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.