Kenneth S Parker, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039898 Issued in GA

Practice address

3805 Cherokee St NW
Kennesaw, GA 30144-2085

Phone

(770) 426-5666

Fax

(770) 426-9212

NPI assigned

Oct 27, 2005

Last updated

Dec 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Wellstar Medical Group, LLC

  dba WellStar Kennesaw Medical Center

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1376849919
  NPD (past)
• Wendy L Smith M.D. PC

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1184880338
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1316937527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442085",
            "telephone_number": "770-426-5666",
            "fax_number": "770-426-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442085",
            "telephone_number": "770-426-5666",
            "fax_number": "770-426-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KENNETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Paraham
• Millie N Parekh
• Park Robert Mitchell, M.D.
• Sanghyun Park, DMD
• Brandon Scott Parker, DC
• William Brian Parks, PSY.D.
• Felicia Parrish, RN
• Partners in Wellness LLC
• Hilere Welch Pasley
• Passport Health Holdings, LLC (Passport Health)

• Family Medicine Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.