Active NPI
Jeffery Dean Parson, C.O.
- Orthotic Fitter
- Tifton, GA
National Provider Identifier
1255397147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- 1415
- Practice address
- 1619 John Orr Drive
Tifton, GA 31794-3640 - Phone
- (229) 386-9829
- Fax
- (229) 386-9830
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | 1415 | GA | Primary |
Addresses
Primary practice location
1619 John Orr Drive
Tifton, GA 31794-3640
Mailing address
1619 John Orr Dr
Tifton, GA 31794-3640
Phone (229) 386-9829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1415 | GA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1255397147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 JOHN ORR DR",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943640",
"telephone_number": "229-386-9829",
"fax_number": "229-386-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 JOHN ORR DRIVE",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943640",
"telephone_number": "229-386-9829",
"fax_number": "229-386-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSON",
"first_name": "JEFFERY",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "C.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "GA",
"license": "1415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.