Paul Mackie Parker, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

031089 Issued in GA

Practice address

1975 Century Blvd NE
Atlanta, GA 30345-3316

Phone

(404) 982-9938

Fax

(404) 982-9136

NPI assigned

Oct 6, 2006

Last updated

Jul 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abozeman446925@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: paul.parker@avera.sdhealthlink.net
• Direct secure messaging: pparker4175@choa.gadirect.net

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.

• Choa Multispecialty, LLC

  • Pediatrics Physician
  • Brookhaven, GA
  • NPI 1437493467
  Medicare reassignment NPD
• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482

  Pediatric Surgery

  Medicare reassignment NPD
• Scottish Rite Children's Medical Center

  dba Children's Healthcare of Atlanta at Scottish Rite

  • Pediatric Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1184779332
  Medicare reassignment NPD
• Choa Hospital Based, LLC

  • Pediatrics Physician
  • Brookhaven, GA
  • NPI 1457695488
  NPD
• Egleston Pediatric Group

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1811041452
  NPD
• Atlanta Pediatric Surgery PC

  • Specialist
  • Atlanta, GA
  • NPI 1699951657
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Specialty Providers at Children's, LLC

  • Pediatric Dentistry
  • Brookhaven, GA
  • NPI 1346606076
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1588751754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 CENTURY BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453316",
            "telephone_number": "404-982-9938",
            "fax_number": "404-982-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 CENTURY BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453316",
            "telephone_number": "404-982-9938",
            "fax_number": "404-982-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PAUL",
        "middle_name": "MACKIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "GA",
            "license": "031089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret J Parker, CPNP
• Miriam Parker, MD
• Misty Lynn Parker, RN
• Molly Parker, IBCLC, RLC
• Monica Willis Parker, M.D.
• Ruth M Parker, M.D.
• Sandra Salcedo Parker, N.P.
• Wiley A Parker, MD
• Brittany Elizabeth Parkey, CAA
• Aleksandra Parkinson

• Pediatric Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.