Active NPI
Ashley Cerone Parks, M.D.
- Dermatology Physician
- Mauldin, SC
National Provider Identifier
1215228739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD37613
- Practice address
- 100 Professional CT
Mauldin, SC 29662-3257 - Phone
- (864) 907-9556
- Fax
- (864) 448-1743
- NPI assigned
- May 2, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD37613 | SC | Primary |
Addresses
Primary practice location
100 Professional CT
Mauldin, SC 29662-3257
Mailing address
100 Professional CT
Mauldin, SC 29662-3257
Phone (864) 907-9556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37613 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1215228739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PROFESSIONAL CT",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296623257",
"telephone_number": "864-907-9556",
"fax_number": "864-448-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PROFESSIONAL CT",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296623257",
"telephone_number": "864-907-9556",
"fax_number": "864-448-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "ASHLEY",
"middle_name": "CERONE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "MD37613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.