Kaitlyn Parker

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2279 Valleydale Rd Ste 100
Hoover, AL 35244-2111

Phone

(205) 214-7546

NPI assigned

Aug 17, 2020

Last updated

Dec 10, 2023By the provider in NPPES

Sex

Female

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of South Alabama College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SSD, LLCGroup PAC ID 2163821448, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• SSD, LLC

  dba Southern Skies Dermatology and Surgery

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1134700131
  Medicare reassignment Care Compare group
• Cahaba Dermatology & Skin Health Center, LLC

  • Dermatopathology Physician
  • Hoover, AL
  • NPI 1619213204
  NPD
• ENT Associates of Alabama, P.C.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1841301082
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1659982262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 VALLEYDALE RD STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442111",
            "telephone_number": "205-214-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 VALLEYDALE RD STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442111",
            "telephone_number": "205-214-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Painsouth, Inc.
• Brittney Rebekah Paisley, DPT
• Aleshia Danielle Palmer Johnson
• Keith Bernard Parish, M.D.
• Parker J Burney DMD LLC
• Laquinndra Parker
• Nicholas Parks, M.S.
• Robert Parsa
• Passionate Angel's Senior Care L.L.C.
• Suzanne Michele Paster, LMFT

• Physician Assistant in Hoover, AL
• Providers in Hoover, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.