Austin Lyle Parker, M.D.
Individual provider Active NPI Nephrology Physician · Kings Bay, GA
NPI 1376513796 · NPPES record last updated Sep 23, 2022
Key facts
- NPI
- 1376513796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 0101234675 (VA)
- Practice address
- 881 Uss James Madison Rd
NSSC Undersea Medical Department
Kings Bay, GA 31547-2531 - Phone
- (912) 573-2995
- Fax
- (912) 573-4534
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tidewater Kidney Specialists Inc
Practice addresses (Care Compare)
814 Kempsville Rd
Suite 102
Norfolk, VA 23502-4001
Phone (757) 623-0005
Hospital & facility affiliations
- Sentara Leigh Hospital
- Sentara Virginia Beach General Hospital
- Chesapeake General Hospital
- Sentara Norfolk General Hospital
- Sentara Obici Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 69.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805000771 | VA | Practitioner - Nephrology |
3173705845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234675 | VA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Kidney Specialists, Inc. | Nephrology | Current |
Accepting new patients |
| Tidewater Kidney Specialists, Inc. | Nephrology | Current |
Accepting new patients |
Locations
814 Kempsville Rd
Ste 102
Norfolk, VA 23502
301 Riverview Ave
Ste 512
Norfolk, VA 23510
Phone (757) 627-5116
814 Kempsville Rd
Bldg 17
Norfolk, VA 23502
Phone (757) 893-1413
4445 Corporation Ln
Ste 100
Virginia Beach, VA 23462
Interoperability endpoints
- austinparker@tks.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101234675 | VA | |
| Nephrology Physician | 207RN0300X | 0101234675 | VA | Yes |
Addresses
Primary practice location
881 Uss James Madison Rd
NSSC Undersea Medical Department
Kings Bay, GA 31547-2531
Mailing address
Nmrtc Portsmouth - Nephrology Clinic
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone (757) 953-2051
Other providers in Kings Bay, GA
- Kylie Napoli
- Jeffrey David Neal
- NH Jacksonville
- Bruce Nemours Nunez
- Jack Robert Olson
- Zachary Parks
- Ricardo Eugene Parr
- Frederic Caldwell Patterson Sr.
- Christopher F.M. Pease
- John Lee Pettry
All providers in Kings Bay, GA · Nephrology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.