NPIMap

Individual provider Active NPI

Matthew Carroll Parker, M.D.

  • Family Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1699901033
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4093 Issued in TX
Practice address
4800 NE Stallings Dr
Suite 111
Nacogdoches, TX 75965-1249
Phone
(936) 564-7383
Fax
(936) 569-0549
NPI assigned
May 29, 2009
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P4093 TX Primary

Addresses

Primary practice location

4800 NE Stallings Dr
Suite 111
Nacogdoches, TX 75965-1249

Mailing address

4800 NE Stallings Dr
Suite 111
Nacogdoches, TX 75965-1249
Phone (936) 564-7383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120821000035 TX Practitioner - Family Practice 9234314857 Reassigns benefits to 3 organizations
I20250702000013 CO Practitioner - Family Practice 9234314857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2635 N 7TH St
Grand Junction, CO 81501-8209

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4093TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Hni Medical Services Family Medicine CurrentSince Jun 11, 2014 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 28, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 28, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince May 12, 2025 Accepting new patients
Dennis W Coffman M.D. Family Medicine Past Accepting new patients
St. Mary's Hospital and Medical Center, Inc. Past Accepting new patients
TH Healthcare, LTD Past Accepting new patients
West Leslie ER Physicians LLC Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 10

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1699901033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR",
            "address_2": "SUITE 111",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651249",
            "telephone_number": "936-564-7383",
            "fax_number": "936-569-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR",
            "address_2": "SUITE 111",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651249",
            "telephone_number": "936-564-7383",
            "fax_number": "936-569-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MATTHEW",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.