Individual provider Active NPI

Janet Simone Parks, CNM

  • Advanced Practice Midwife
  • Atlanta, GA
National Provider Identifier
1235766205
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
340 Boulevard NE Ste 103
Atlanta, GA 30312-1278
Phone
(404) 622-9810
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

340 Boulevard NE Ste 103
Atlanta, GA 30312-1278

Mailing address

1162 Houston Mill Rd NE
Atlanta, GA 30329-3833
Phone (860) 929-1382

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Atlanta

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707001007 GA Practitioner - Certified Nurse Midwife (CNM) 2769862861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

833 Campbell Hill N W St
Suite 400
Marietta, GA 30060-1147
Phone (770) 528-0260

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Intown Womens Health PastSince Mar 29, 2020 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

833 Campbell Hill St NW
Ste 400
Marietta, GA 30060
Phone (770) 528-0260

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

2500 Hospital Blvd
Ste 340
Roswell, GA 30076
Phone (470) 956-4590

Interoperability endpoints

  • Direct secure messaging: jparks389335@directwellstar.org

Organizations & group practices 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1235766205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 HOUSTON MILL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293833",
            "telephone_number": "860-929-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE STE 103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121278",
            "telephone_number": "404-622-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE PARKS",
        "first_name": "JANET",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "address_1": "340 Boulevard NE Ste 103",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303121278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.