Clayten Lee Parker, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

177054 Issued in NC

Practice address

944 Van Gert Dr
Winterville, NC 28590-7914

Phone

(252) 714-6201

NPI assigned

Oct 14, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1427368232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 VAN GERT DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907914",
            "telephone_number": "252-714-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 VAN GERT DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907914",
            "telephone_number": "252-714-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CLAYTEN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "177054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427368232",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Outcomes Counseling and Treatment Services, PLLC
• Paradigm, Inc.
• Paradigm, Inc.
• Paradigm, Inc.
• Paradigm, Inc.
• Parkers Reliant Transportation LLC
• Passion Favored Transportation & Hope Social Therapy LLC
• Shirley Harish Patel, M.D.
• Yareliz Marie Pellot Soto
• People First Home Care, Inc.

• Family Nurse Practitioner in Winterville, NC
• Providers in Winterville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.