NPIMap

Individual provider Active NPI

Carmen Parks, FNP

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1629186382
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R723274 Issued in MS
Practice address
207 Alcorn Dr
Corinth, MS 38834-8400
Phone
(662) 287-3100
Fax
(662) 287-3435
NPI assigned
Aug 25, 2006
Last updated
Apr 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R723274 MS Primary

Addresses

Primary practice location

207 Alcorn Dr
Corinth, MS 38834-8400

Mailing address

4 Willow PT Ste 50
Hattiesburg, MS 39402-1150
Phone (601) 296-3070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060926000022 MS Practitioner - Nurse Practitioner 5496750457 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tippah County HospitalGroup PAC ID 5193746709, shared by 6 NPIs, 24 clinicians

Practice addresses (Care Compare)

1005 -A City Ave N
Ripley, MS 38663-1414
Phone (662) 837-9221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tippah County Hospital CurrentSince May 1, 2024 Accepting new patients
Tippah County Hospital Current Accepting new patients
North Harper Minor Medical Clinic, LLC Current Accepting new patients
Tippah County Hospital CurrentSince May 1, 2024 Accepting new patients
Magnolia Nephrology Clinic Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Tippah County Hospital CurrentSince May 1, 2024 Accepting new patients
Magnolia Specialty Clinic CurrentSince Feb 8, 2018 Accepting new patients
Pratt Family Medical Clinic, P.a. Family CurrentSince Mar 14, 2022 Accepting new patients
Tippah County Hospital Past Accepting new patients

Locations

121 Pratt Dr
#A
Corinth, MS 38834
Phone (662) 286-0088

121 Pratt Dr
Ste 1A
Corinth, MS 38834
Phone (662) 286-0088

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202

Interoperability endpoints

  • Direct secure messaging: carmenparks@magnolia.medalliesdirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1629186382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILLOW PT STE 50",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021150",
            "telephone_number": "601-296-3070",
            "fax_number": "601-296-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348400",
            "telephone_number": "662-287-3100",
            "fax_number": "662-287-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R723274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.