Active NPI
John Ashley Parker, M.D.
- Family Medicine Physician
- Wilson, NC
National Provider Identifier
1669524518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200300180
- Practice address
- 2817 Wooten Blvd SW
Wilson, NC 27893-8625 - Phone
- (252) 991-6800
- Fax
- (252) 991-6801
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200300180 | NC | Primary |
Addresses
Primary practice location
2817 Wooten Blvd SW
Wilson, NC 27893-8625
Mailing address
2817 Wooten Blvd SW
Wilson, NC 27893-8625
Phone (252) 991-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89134J9 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 18, 2016 through Feb 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300180 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1669524518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 WOOTEN BLVD SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278938625",
"telephone_number": "252-991-6800",
"fax_number": "252-991-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 WOOTEN BLVD SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278938625",
"telephone_number": "252-991-6800",
"fax_number": "252-991-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JOHN",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200300180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89134J9",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.