Waylon Morris Parker, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

016672 Issued in LA

Practice address

5002 Highway 10
Villa Feliciana Medical Complex
Jackson, LA 70748

Phone

(225) 634-4079

NPI assigned

Feb 1, 2007

Last updated

Nov 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Villa Feliciana Medical Complex

  • Skilled Nursing Facility
  • Jackson, LA
  • NPI 1356508667
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1609914902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 MAIN STREET",
            "address_2": "SUITE A #222",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-634-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 10",
            "address_2": "VILLA FELICIANA MEDICAL COMPLEX",
            "city": "JACKSON",
            "state": "LA",
            "postal_code": "70748",
            "telephone_number": "225-634-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "WAYLON",
        "middle_name": "MORRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "016672",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "016672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwabueze Nnamdi Inc (East Feliciana Primary Care Clinic)
• Nnamdi Andrew Nwabueze, M.D.
• Stacie Nwabueze, PHD
• Gabriel I Onor Sr., MD
• Robert William Papcsy III, FNP-C
• Alan Ray Perego, M.D.
• Wanda Lynn Pezant, APRN
• Primary Care Providers for a Healthy Feliciana, Inc. (Jackson Complex Health Center)
• Joshua A Primeaux, LCSW
• R.C.McDonald Co Inc (McDonald Pharmacy)

• General Practice Physician in Jackson, LA
• Providers in Jackson, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.