Individual provider Active NPI

Teresa Davis Parham, FNP

  • Family Nurse Practitioner
  • South Hill, VA
National Provider Identifier
1215167333
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172253 Issued in VA
Practice address
420 Durant St
South Hill, VA 23970-1614
Phone
(434) 584-0046
Fax
(434) 584-0083
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5001114 NC
Family Nurse Practitioner 363LF0000X 0050-01114 NC
Family Nurse Practitioner 363LF0000X 0024172253 VA Primary

Addresses

Primary practice location

420 Durant St
South Hill, VA 23970-1614

Mailing address

420 Durant St
South Hill, VA 23970-1614
Phone (434) 584-0046

Other practice location 1

1520 Sunday Dr
Raleigh, NC 27607-5253
Phone (919) 782-3456

Other identifiers 2

IdentifierTypeStateIssuer
5001114OtherNCNC LICENSE
0024172253OtherVAVA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160120002915 VA Practitioner - Nurse Practitioner 5799009858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050-01114NCMDFamily Nurse Practitioner
5001114NCMDFamily Nurse Practitioner
0024172253VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Nov 28, 2015 Accepting new patients
CMH Physician Services, LLC CurrentSince Nov 28, 2015 Accepting new patients

Locations

61 Burlington Dr
Clarksville, VA 23927
Phone (434) 374-2773

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

420 Durant St
South Hill, VA 23970
Phone (434) 447-3315

Organizations & group practices 2

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215167333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DURANT ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701614",
            "telephone_number": "434-584-0046",
            "fax_number": "434-333-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DURANT ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701614",
            "telephone_number": "434-584-0046",
            "fax_number": "434-584-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Sunday Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276075253",
            "country_code": "US",
            "telephone_number": "919-782-3456",
            "fax_number": "919-783-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "TERESA",
        "middle_name": "DAVIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5001114",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-01114",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "5001114",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0024172253",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

Verify at the official NPI Registry.