Active NPI
Erica Francesca Lari Parks, PHD, PA-C
- Medical Physician Assistant
- Gainesville, GA
National Provider Identifier
1255844643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10304
- Practice address
- 1631 Atlanta Hwy
Gainesville, GA 30504-5942 - Phone
- (770) 718-1517
- NPI assigned
- Nov 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | 10304 | GA | Primary |
Addresses
Primary practice location
1631 Atlanta Hwy
Gainesville, GA 30504-5942
Mailing address
1631 Atlanta Hwy
Gainesville, GA 30504-5942
Phone (770) 718-1517
Other practice location 1
2185 Pacheco St
Concord, CA 94520-2309
Phone (925) 676-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180612000957 | CA | Order and Referring Only - Physician Assistant | 3779838982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10304 | GA | MD | Medical Physician Assistant |
Interoperability endpoints
- erica.parkspa.p1@direct.ppnorcal.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1255844643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 ATLANTA HWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045942",
"telephone_number": "770-718-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 ATLANTA HWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045942",
"telephone_number": "770-718-1517"
}
],
"practiceLocations": [
{
"address_1": "2185 Pacheco St",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945202309",
"country_code": "US",
"telephone_number": "925-676-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "ERICA",
"middle_name": "FRANCESCA LARI",
"credential": "PHD, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "10304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.