Active NPI
Parker Sarris McConville, MD
- Family Medicine Physician
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 1125 Carthage St
Sanford, NC 27330-4162 - Phone
- (919) 774-6023
- Fax
- (919) 776-6359
- NPI assigned
- Aug 6, 2007
- Last updated
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NC | Primary |
Addresses
Primary practice location
1125 Carthage St
Sanford, NC 27330-4162
Mailing address
1125 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-6023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908240 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Brody School of Medicine at East Carolina University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-6023
75 Old Graham Rd
Pittsboro, NC 27312-5655
Phone (919) 542-2731
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501087 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Family Medicine | Current | Accepting new patients |
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Family Medicine | Past | Accepting new patients |
Locations
101 Church St
Broadway, NC 27505
Phone (919) 258-6521
75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731
1125 Carthage St
Sanford, NC 27330
Phone (919) 774-6023
4546 NC 87 S
Sanford, NC 27332
Phone (919) 499-5151
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- parker.mcconville.1@15593.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Central Caroling Urology
- Urology Physician
- Sanford, NC
- NPI 1184163883
-
dba Central Carolina Orthopaedics
- Family Medicine Physician
- Sanford, NC
- NPI 1215476908
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Broadway, NC
- NPI 1578254215
-
dba FryeCare Family Medicine Watauga
- Family Medicine Physician
- Boone, NC
- NPI 1083152961
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Central Carolina Hospital
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
-
dba Liberty Home Care II, LLC
- Home Health Agency
- Sanford, NC
- NPI 1699721324
-
dba Liberty Home Care II, LLC
- Home Health Agency
- Siler City, NC
- NPI 1982659215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1295926251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 CARTHAGE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304162",
"telephone_number": "919-774-6023",
"fax_number": "919-776-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 CARTHAGE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304162",
"telephone_number": "919-774-6023",
"fax_number": "919-776-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONVILLE",
"first_name": "PARKER",
"middle_name": "SARRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908240",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.
- 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.