Individual provider Active NPI

John E Parker, M.D

  • General Practice Physician
  • Hilton Head, SC
National Provider Identifier
1659402444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5093 Issued in SC
Practice address
430 William Hilton Pkwy
Ste. 508 B
Hilton Head, SC 29926-2424
Phone
(843) 342-5555
Fax
(843) 342-2255
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5093 SC Primary

Addresses

Primary practice location

430 William Hilton Pkwy
Ste. 508 B
Hilton Head, SC 29926-2424

Mailing address

430 William Hilton Pkwy
Ste. 508 B
Hilton Head, SC 29926-2424
Phone (843) 342-5555

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
5093SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Island Health & Performance Center Past Accepting new patients
Advanced Medical & Wellness LLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659402444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WILLIAM HILTON PKWY",
            "address_2": "STE. 508 B",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262424",
            "telephone_number": "843-342-5555",
            "fax_number": "843-342-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WILLIAM HILTON PKWY",
            "address_2": "STE. 508 B",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262424",
            "telephone_number": "843-342-5555",
            "fax_number": "843-342-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.