Parkway Professional Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PARKWAY PROFESSIONAL GROUP LLC

Practice address

541 Forest Pkwy
Forest Park, GA 30297-6144

Phone

(561) 202-0834

NPI assigned

Aug 23, 2012

Organization subpart

No

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

Authorized official

Name

Tammy Rodriguez

Title

Billing Manager

Phone

(561) 202-0834

Specialties & licenses 1

Addresses

Tax ID family

Parkway Professional Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Parkway Professional Group LLC

  • Specialist
  • Forest Park, GA
  • NPI 1093060659
  NPD tax ID

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1659629699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976144",
            "telephone_number": "561-202-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976144",
            "telephone_number": "561-202-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PROFESSIONAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-202-0834"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkway Eye Clinic, Inc.
• Parkway Family Eye Clinic Inc
• Parkway Family Optical
• Parkway Laboratories, LLC
• Parkway Professional Group LLC
• Kanksha Patel, DC
• Phases Medical Equipment and Supplies
• Bobby Teron Pittman Jr., DDS
• Plymouth Point
• PMR Georgia Holding, LLC

• Specialist in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.