Active NPI
Jessica Parker
- Clinical Social Worker
- Athens, GA
National Provider Identifier
1306380746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005864
- Practice address
- 1060 Gaines School Rd
Suite A4C
Athens, GA 30605-3198 - Phone
- (706) 614-3132
- NPI assigned
- Dec 4, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005864 | GA | Primary |
Addresses
Primary practice location
1060 Gaines School Rd
Suite A4C
Athens, GA 30605-3198
Mailing address
1060 Gaines School Rd
Suite A4C
Athens, GA 30605-3198
Phone (706) 614-3132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180628003103 | GA | Practitioner - Clinical Social Worker | 7315293644 | Practice locations: Athens, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
985 Gaines School Rd
Suite C
Athens, GA 30605-3133
Phone (706) 614-3132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Parker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Athens, GA
- NPI 1841741063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480809600000",
"number": "1306380746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 GAINES SCHOOL RD",
"address_2": "SUITE A4C",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053198",
"telephone_number": "706-614-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAINES SCHOOL RD",
"address_2": "SUITE A4C",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053198",
"telephone_number": "706-614-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-04",
"last_updated": "2016-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; 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.