Individual provider Active NPI

Rachel Lewis Parker, MD

  • Surgery Physician
  • Morristown, TN
National Provider Identifier
1669827135
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
66557 Issued in TN
Practice address
1437 W Morris Blvd
Morristown, TN 37813-2828
Phone
(423) 587-8041
Fax
(865) 305-6958
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 66557 TN Primary

Addresses

Primary practice location

1437 W Morris Blvd
Morristown, TN 37813-2828

Mailing address

1437 W Morris Blvd
Morristown, TN 37813-2828
Phone (423) 587-8041

Other identifiers 1

IdentifierTypeStateIssuer
Q042919MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address parker.rachel@covenanthealth.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111001990 TN Practitioner - General Surgery 9537455902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66557TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Surgery CurrentSince Oct 1, 2022 Accepting new patients
Covenant Medical Group, Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

1437 W Morris Blvd
Morristown, TN 37813
Phone (423) 587-8041

Interoperability endpoints

  • Direct secure messaging: parker.rachel@covenanthealth.cernerdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1669827135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132828",
            "telephone_number": "423-587-8041",
            "fax_number": "865-305-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132828",
            "telephone_number": "423-587-8041",
            "fax_number": "865-305-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RACHEL",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "66557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q042919",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "parker.rachel@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1437 W Morris Blvd",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.