Individual provider Active NPI

Heather Parker, MSN, FNP-BC

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1316630122
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-161825 Issued in AL
Practice address
4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone
(334) 793-9564
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-161825 AL Primary

Addresses

Primary practice location

4300 W Main St Ste 102
Dothan, AL 36305-1306

Mailing address

4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone (334) 793-9564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106001519 AL Practitioner - Nurse Practitioner 2365899895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

115 W Paulk Ave
Opp, AL 36467-1630
Phone (205) 343-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-161825ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates, PA CurrentSince Sep 5, 2023 Accepting new patients
Southern NP Associates, LLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

142 W 3rd St
Luverne, AL 36049
Phone (334) 335-5331

115 W Paulk Ave
Opp, AL 36467
Phone (334) 493-4558

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

Interoperability endpoints

  • Direct secure messaging: heatherparker@dothanspcl.allscriptsdirect.net

Organizations & group practices 2

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1316630122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051306",
            "telephone_number": "334-793-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051306",
            "telephone_number": "334-793-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "HEATHER",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-161825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.