Active NPI
Megan Lynn Parks, P.A.
- Physician Assistant
- Greensboro, NC
National Provider Identifier
1356672687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-09209
- Practice address
- 509 N Elam Ave FL 2
Greensboro, NC 27403-1157 - Phone
- (336) 274-1114
- Fax
- (336) 274-9638
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9105362 | FL | |
| Physician Assistant | 363A00000X | 0010-09209 | NC | Primary |
Addresses
Primary practice location
509 N Elam Ave FL 2
Greensboro, NC 27403-1157
Mailing address
509 N Elam Ave FL 2
Greensboro, NC 27403-1157
Phone (336) 274-1114
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9105362 | FL | MD | Physician Assistant |
| 0010-09209 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1356672687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N ELAM AVE FL 2",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031157",
"telephone_number": "336-274-1114",
"fax_number": "336-274-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N ELAM AVE FL 2",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031157",
"telephone_number": "336-274-1114",
"fax_number": "336-274-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "MEGAN",
"middle_name": "LYNN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9105362",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.