Active NPI
Joan C Parks, PA-C
- Physician Assistant
- Cherokee, NC
National Provider Identifier
1497714307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0101121
- Practice address
- 1570 Acquoni Rd
Suite 1
Cherokee, NC 28719 - Phone
- (828) 497-6318
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0101121 | NC | Primary |
Addresses
Primary practice location
1570 Acquoni Rd
Suite 1
Cherokee, NC 28719
Mailing address
PO Box 1030
Cherokee, NC 28719-1030
Phone (828) 497-6318
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891199Y | Medicaid | NC | |
| 0101121 | Other | NC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101121 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Indian HLTH Ctr Pharmacy | Past | Accepting new patients | |
| Eastern Band of Cherokee Indians | Past | Accepting new patients | |
| Eastern Band of Cherokee Indians | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cherokee, NC
- NPI 1588840318
-
- General Acute Care Hospital
- Cherokee, NC
- NPI 1770662348
-
- Federally Qualified Health Center (FQHC)
- Cherokee, NC
- NPI 1043351166
-
- Federally Qualified Health Center (FQHC)
- Cherokee, NC
- NPI 1942522057
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Rock Hill, SC
- NPI 1467581819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497714307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1030",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "287191030",
"telephone_number": "828-497-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 ACQUONI RD",
"address_2": "SUITE 1",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "JOAN",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0101121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891199Y",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0101121",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherokee, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.