Individual provider Active NPI

Barry N Parker, PA-C

  • Physician Assistant
  • Lawrenceville, GA
National Provider Identifier
1326165705
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2231 Issued in GA
Practice address
755 Lawrenceville Suwanee Rd
Ste 1600
Lawrenceville, GA 30043-7346
Phone
(770) 995-1500
Fax
(214) 775-4502
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2231 GA Primary

Addresses

Primary practice location

755 Lawrenceville Suwanee Rd
Ste 1600
Lawrenceville, GA 30043-7346

Mailing address

5080 Spectrum Dr
Suite 1200 W
Addison, TX 75001-4648
Phone (972) 725-6673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2231GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA Current Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia Past Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

755 Suwanee Rd
Ste 1600
Lawrenceville, GA 30043
Phone (770) 995-1500

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1326165705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-725-6673",
            "fax_number": "214-775-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 LAWRENCEVILLE SUWANEE RD",
            "address_2": "STE 1600",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437346",
            "telephone_number": "770-995-1500",
            "fax_number": "214-775-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BARRY",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.