Individual provider Active NPI

Don N Parkerson Jr., D.C.

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1508062068
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6096 Issued in GA
Practice address
2424 Herodian Way SE
Smyrna, GA 30080-2904
Phone
(770) 952-5353
Fax
(770) 952-1982
NPI assigned
Jun 22, 2007
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6096 GA Primary

Addresses

Primary practice location

2424 Herodian Way SE
Smyrna, GA 30080-2904

Mailing address

2424 Herodian Way SE
Smyrna, GA 30080-2904
Phone (770) 952-5353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000744 GA Practitioner - Chiropractic 9335309822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
HP Spine Center IncGroup PAC ID 1355501842, 2 clinicians

Practice addresses (Care Compare)

2424 Herodian Way
Smyrna, GA 30080-2904
Phone (770) 952-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HP Spine Center Inc Chiropractor CurrentSince Mar 31, 1998 Accepting new patients
Parkerson Chriopractic Clinic Inc. Chiropractor CurrentSince Mar 31, 1998 Accepting new patients

Locations

2424 Herodian Way SE
Smyrna, GA 30080
Phone (770) 952-5353

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1508062068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 HERODIAN WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802904",
            "telephone_number": "770-952-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 HERODIAN WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802904",
            "telephone_number": "770-952-5353",
            "fax_number": "770-952-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKERSON",
        "first_name": "DON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.