J Parks Medical LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

018176 Issued in GA

Legal business name

J PARKS MEDICAL LLC

Practice address

1010 Dawsonville Hwy
Gainesville, GA 30501-2621

Phone

(770) 533-8329

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Frederick Parks, MD

Title

Owner/Physician

Phone

(770) 538-5734

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1245314780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROWN DR",
            "city": "CLERMONT",
            "state": "GA",
            "postal_code": "305271753",
            "telephone_number": "770-538-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DAWSONVILLE HWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012621",
            "telephone_number": "770-533-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PARKS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "770-538-5734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "018176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000114287D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000114287E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Christine Ivey-Barnett, DO
• Roli Bernadette Iwere, MD
• Ifeanyi Obianyo Iwuchukwu, MD
• Alexandra Elizabeth Izaguirre, DMD
• J Andrew Ramsey DMD PC
• Ashley Valentine Jackson, FNP-C
• Gregory Dennis Jackson, MD
• James D Jackson, M.D.
• Jeanine M. Jackson, CNNP
• Joseph Loy Jackson, D.M.D.

• Skilled Nursing Facility in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.