Individual provider Active NPI

Gregg Parker, M.D.

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1548358328
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
012409 Issued in GA
Practice address
910 E 70TH St
Savannah, GA 31405-4815
Phone
(912) 354-8253
Fax
(912) 354-4985
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 012409 GA Primary

Addresses

Primary practice location

910 E 70TH St
Savannah, GA 31405-4815

Mailing address

910 E 70TH St
Savannah, GA 31405-4815
Phone (912) 354-8253

Other identifiers 1

IdentifierTypeStateIssuer
00114023AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000405 GA Practitioner - Obstetrics/Gynecology 4880869791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012409GAMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: gregg.parker@gaa022.digichart.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1548358328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054815",
            "telephone_number": "912-354-8253",
            "fax_number": "912-354-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054815",
            "telephone_number": "912-354-8253",
            "fax_number": "912-354-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "012409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114023A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.