Lillian Grace Parker, APRN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN052630 Issued in GA

Practice address

3629 Windmill Rd
Ellenwood, GA 30294-2106

Phone

(770) 987-1881

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lillian Davenport Parker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lillian Davenport Parker

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Ellenwood, GA
  • NPI 1336298264
  NPD (past) Authorized official
• Connie Jorgensen Msrncs

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • McDonough, GA
  • NPI 1417140724
  NPD (past)
• Creative Care Concepts, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, GA
  • NPI 1144273608
  NPD (past)
• Heritage Inn of Barnesville LLC

  • Skilled Nursing Facility
  • Barnesville, GA
  • NPI 1932148392
  NPD (past)
• Psychiatric Consultative Services, L.L.C.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Atlanta, GA
  • NPI 1588727978
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1477607489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 WINDMILL RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942106",
            "telephone_number": "770-987-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 WINDMILL RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942106",
            "telephone_number": "770-987-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LILLIAN",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN052630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "PARKER",
            "middle_name": "DAVENPORT",
            "credential": "MS, PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Olufunlayo Aduni Olawole
• Olivia Jenice Olverson, OTR/L
• Omega Integrative Healthcare, LLC
• Latalvia Paramore, PT
• Samantha Bernardo Paredes
• Ami Patel, DDS
• Peaceful Activities, Inc.
• Larry Lenard Pearson Sr.
• Pennie'S R US Corporation
• Perdum Assisted Living

• Psychiatric/Mental Health Clinical Nurse Specialist in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.