Active NPI
Teresa Davis Parham, FNP
- Family Nurse Practitioner
- South Hill, VA
National Provider Identifier
1215167333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024172253
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5001114 | Other | NC | NC LICENSE |
| 0024172253 | Other | VA | VA 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.74 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-01114 | NC | MD | Family Nurse Practitioner |
| 5001114 | NC | MD | Family Nurse Practitioner |
| 0024172253 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH Physician Services, LLC | Current | Accepting new patients | |
| CMH Physician Services, LLC | Current | 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.
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
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
- Nana Kraa Ofosu-Benefo Touray, RD
- Olalekan Okunuga, DDS, P.C.
- Olukunle Oreyemi-Rire Olumuyiwa, CRNA (DMPNA), APRN
- Stephen Allison Ortlip, M.D.
- Miguel Pacheco, DPT
- Latonya Parker, BA/ QMHP-A/C
- Irene Parrish, CNP
- Benjamin Lawrence Pastwik, MD
- Peaceful Pathways Mental Health Agency, LLC
- John Pearson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.