Parkway Medical Group, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARKWAY MEDICAL GROUP, PC

Practice address

108 Medical Center Blvd
Suite G-50
Fayetteville, TN 37334-2741

Phone

(931) 438-4111

Fax

(931) 438-6108

NPI assigned

Aug 18, 2006

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca L Mitchell

Title

Business Manager

Phone

(931) 438-4111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lydia Adams, APRN

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1528618162
  Medicare reassignment Care Compare group NPD
• Caitlin Alyse Bradford, FNP

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1891443313
  Medicare reassignment Care Compare group NPD
• Richard William Cline Jr., D.O.

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1043357916
  Medicare reassignment Care Compare group NPD
• William A Edwards, M.D.

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1326052408
  Medicare reassignment Care Compare group NPD
• Danyeil Harvey, FNP-BC

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1386142024
  Medicare reassignment Care Compare group NPD
• William D Hughes, M.D.

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1497862999
  Medicare reassignment Care Compare group NPD
• Augusta Nell Pierce, FNP-BC

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1235996000
  Medicare reassignment Care Compare group NPD
• James A Gray, M.D.

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1497869259
  Medicare reassignment NPD
• Melissa Holt

  • Family Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1659896751

  Family Medicine

  Medicare reassignment NPD
• Evelyn Green, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
  • NPI 1659943900

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1285748962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE G-50",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-438-4111",
            "fax_number": "931-438-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE G-50",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-438-4111",
            "fax_number": "931-438-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "931-438-4111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett Alexander Page
• Juliann Fears Paladino
• Paragon Nutrition Care, LLC
• Hannah Nicole Parker
• Calvin H Parks
• Yashwant P Patel, MD
• Renata Peavy
• Robert Larry Perkins, OD
• Augusta Nell Pierce, FNP-BC
• Lori Pigg

• Family Medicine Physician in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.