Individual provider Active NPI

Lacey Perrin Parker, M.D,

  • Anesthesiology Physician
  • Jonesboro, AR
National Provider Identifier
1306130208
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-9068 Issued in AR
Practice address
1100 E Matthews Ave
Jonesboro, AR 72401-4314
Phone
(870) 935-8500
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E-9068 AR Primary

Addresses

Primary practice location

1100 E Matthews Ave
Jonesboro, AR 72401-4314

Mailing address

1116 Kavanaugh Blvd
Little Rock, AR 72205-4318
Phone (501) 650-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150723007825 AR Practitioner - Anesthesiology 3375856008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

3333 Springhill Dr
Suite a
North Little Rock, AR 72117-2922
Phone (501) 202-2093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9068ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Pain Management Assoc., P.a. Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Jonesboro Anesthesia Inc Anesthesiology CurrentSince Jul 8, 2015 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

1100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-8500

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

710 Marion St
Ste 101
Searcy, AR 72143

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1306130208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054318",
            "telephone_number": "501-650-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014314",
            "telephone_number": "870-935-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN PARKER",
        "first_name": "LACEY",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.