Individual provider Active NPI

Colton Parker

  • Medical Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1497416903
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PAT9115419 Issued in FL
Practice address
2015 Ocean Dr Ste 8
Boynton Beach, FL 33426-5131
Phone
(561) 737-4777
NPI assigned
Jan 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PAT9115419 FL Primary

Addresses

Primary practice location

2015 Ocean Dr Ste 8
Boynton Beach, FL 33426-5131

Mailing address

1023 Water Tower Way Apt 207
Hypoluxo, FL 33462-6246
Phone (772) 713-7404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220210001496 FL Practitioner - Physician Assistant 3274926431 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

140 JFK Dr
Atlantis, FL 33462-6608
Phone (561) 968-6767

240 N Wickham Rd
Suite 110
Melbourne, FL 32935-8663
Phone (321) 541-1714

7593 W Boynton Beach Blvd
Suite 220
Boynton Beach, FL 33437-6162

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc Multi-Specialty CurrentSince Jan 15, 2022 Accepting new patients
Medical Specialists of the Palm Beaches Inc Multi-Specialty CurrentSince Jan 15, 2022 Accepting new patients
Medical Specialists of the Palm Beaches Inc Multi-Specialty Past Accepting new patients

Locations

2015 Ocean Dr
Ste 8
Boynton Beach, FL 33426
Phone (561) 737-4777

Interoperability endpoints

  • Direct secure messaging: colton.parker.1@15594.direct.athenahealth.com
  • Direct secure messaging: colton.parker.1@11933.direct.athenahealth.com

Organizations & group practices 7

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1497416903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WATER TOWER WAY APT 207",
            "city": "HYPOLUXO",
            "state": "FL",
            "postal_code": "334626246",
            "telephone_number": "772-713-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR STE 8",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-737-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "COLTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PAT9115419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.