Individual provider Active NPI

James A Parker, MD

  • Plastic Surgery Physician
  • Watkinsville, GA
National Provider Identifier
1538265491
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
045573 Issued in GA
Practice address
1181 Langford Dr BLDG 300-105
Watkinsville, GA 30677-7305
Phone
(706) 543-0404
Fax
(706) 549-0065
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 045573 GA Primary

Addresses

Primary practice location

1181 Langford Dr BLDG 300-105
Watkinsville, GA 30677-7305

Mailing address

1181 Langford Dr BLDG 300-105
Watkinsville, GA 30677-7305
Phone (706) 543-0404

Other identifiers 1

IdentifierTypeStateIssuer
000797475AMedicaidGA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045573GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Plastic & Reconstructive Surgery, P.C. PastSince May 1, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1538265491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR BLDG 300-105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777305",
            "telephone_number": "706-543-0404",
            "fax_number": "706-549-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR BLDG 300-105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777305",
            "telephone_number": "706-543-0404",
            "fax_number": "706-549-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "045573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000797475A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.