Individual provider Active NPI

Charles Lawrence Parker, M.D.

  • Gynecology Physician
  • New Bern, NC
National Provider Identifier
1255325866
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
21093 Issued in NC
Practice address
801 McCarthy Blvd
New Bern, NC 28562-5237
Phone
(252) 633-3942
NPI assigned
Sep 9, 2005
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 21093 NC Primary

Addresses

Primary practice location

801 McCarthy Blvd
New Bern, NC 28562-5237

Mailing address

801 McCarthy Blvd
New Bern, NC 28562-5237
Phone (252) 633-3942

Other identifiers 1

IdentifierTypeStateIssuer
8965317MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000175 NC Practitioner - Obstetrics/Gynecology 0941391528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21093NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Carolina Women's Center, PA CurrentSince May 1, 1998 Accepting new patients
Eastern Carolina Women's Center, PA CurrentSince May 1, 1998 Accepting new patients

Locations

200 Stonebridge Sq
Havelock, NC 28532
Phone (252) 633-3942

801 McCarthy Blvd
New Bern, NC 28562
Phone (252) 633-3942

Interoperability endpoints

  • Direct secure messaging: charlesparker@ecwc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1255325866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625237",
            "telephone_number": "252-633-3942",
            "fax_number": "252-636-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625237",
            "telephone_number": "252-633-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CHARLES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "21093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965317",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.