Organization Active NPI

Jeffery G Parker M.D. P.C.

  • Family Medicine Physician
  • Northport, AL
National Provider Identifier
1205997285
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEFFERY G PARKER M.D. P.C.
Doing business as
Northport Urgent Care
Practice address
2810 Lurleen Wallace Boulevard
Northport, AL 35476
Phone
(205) 333-7670
Fax
(205) 333-3161
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. Jeffery G Parker, M.D.
Title
Physician Owner
Phone
(205) 333-7670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2810 Lurleen Wallace Boulevard
Northport, AL 35476

Mailing address

2810 Lurleen Wallace Boulevard
Northport, AL 35476
Phone (205) 333-7670

Other identifiers 2

IdentifierTypeStateIssuer
DO3780OtherALMEDICARE RAILROAD
104124MedicaidAL

Other names 1

  • Northport Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

2810 Lurleen B Wallace Blvd
Northport, AL 35476
Phone (205) 333-7670

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1205997285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 LURLEEN WALLACE BOULEVARD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-333-7670",
            "fax_number": "205-333-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LURLEEN WALLACE BOULEVARD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-333-7670",
            "fax_number": "205-333-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY G PARKER M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "205-333-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DO3780",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104124",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northport Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.