NPIMap

Individual provider Active NPI

David R Parker, MD

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1376547356
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200300678 Issued in NC
Practice address
1248 Fort Bragg Rd
Suite 200
Fayetteville, NC 28305-4981
Phone
(910) 486-6818
Fax
(910) 484-1099
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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 200300678 NC Primary

Addresses

Primary practice location

1248 Fort Bragg Rd
Suite 200
Fayetteville, NC 28305-4981

Mailing address

1248 Fort Bragg Rd
Suite 200
Fayetteville, NC 28305-4981
Phone (910) 486-6818

Other identifiers 4

IdentifierTypeStateIssuer
P00419380OtherNCRAILROAD MEDICARE
891363VMedicaidNC
138A6OtherNCDR PARKER'S BCBS OF NC #
89138A6MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000213 NC Practitioner - Family Practice 7416920111 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kog Integrated Healthcare 2 clinicians

Practice addresses (Care Compare)

810 Elm St
Fayetteville, NC 28303-4152
Phone (984) 229-9005

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200300678NCMDFamily Medicine Physician
20030NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Chapmans Management Company CurrentSince Feb 1, 2017 Accepting new patients
Cross & Crown Regenerative Care PLLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jan 16, 2021 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center, Inc. CurrentSince Jan 16, 2021 Accepting new patients
Kog Integrated Healthcare Family Medicine CurrentSince Feb 4, 2019 Accepting new patients
Fayetteville Area Health Education Foundation Inc Family Medicine CurrentSince Oct 1, 2008 Accepting new patients

Locations

1624 White Oak Church Rd
#100
Apex, NC 27523
Phone (984) 229-9005

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

2810 Bragg Blvd
Ste B
Fayetteville, NC 28303
Phone (910) 920-2012

3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720

810 Elm St
Fayetteville, NC 28303
Phone (910) 321-0356

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1601 Owen Dr
Fayetteville, NC 28304
Phone (910) 323-1152

1248 Fort Bragg Rd
Ste 200
Fayetteville, NC 28305
Phone (910) 486-6818

918 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 339-4987

Interoperability endpoints

  • Direct secure messaging: david.parker.1@30455.direct.athenahealth.com
  • Direct secure messaging: dparker@goshenmedical.cloudcraftdirect.com

Organizations & group practices 8

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1376547356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FORT BRAGG RD",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054981",
            "telephone_number": "910-486-6818",
            "fax_number": "910-484-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FORT BRAGG RD",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054981",
            "telephone_number": "910-486-6818",
            "fax_number": "910-484-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200300678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00419380",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891363V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR PARKER'S BCBS OF NC #",
            "identifier": "138A6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138A6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.