NPIMap

Organization Active NPI

Glenn R Parris, MD PC

  • Specialist
  • Lawrenceville, GA
National Provider Identifier
1720189285
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031646 Issued in GA
Legal business name
GLENN R PARRIS, MD PC
Practice address
4850 Sugarloaf Pkwy Ste 501
Lawrenceville, GA 30044-2864
Phone
(770) 962-1616
Fax
(770) 962-7977
NPI assigned
Sep 26, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Glenn R Parris, MDNPI 1417148834
Title
President/Ceo
Phone
(770) 962-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20110321000402 GA Part B Supplier - Clinic/Group Practice 3577746130 Receives reassigned benefits from 8 practitioners
Practice locations: Lawrenceville, GA; Lilburn, GA

National Provider Directory

National Provider Directory

Locations

5555 Ptree Dunwoody Rd NE
Ste 293
Sandy Springs, GA 30342
Phone (404) 252-0230

Interoperability endpoints

  • Direct secure messaging: m.samakur@parrisandassociates.azalea.phimailbox.com
  • Direct secure messaging: j.black@parrisandassociates.azalea.phimailbox.com
  • Direct secure messaging: g.parris@parrisandassociates.azalea.phimailbox.com
  • Direct secure messaging: a.covington@parrisandassociates.azalea.phimailbox.com
  • Direct secure messaging: z.ahmed@parrisandassociates.azalea.phimailbox.com
  • Direct secure messaging: b.ban@parrisandassociates.azalea.phimailbox.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 031646 GA Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

NPPES NPI Registry

Primary practice location

4850 Sugarloaf Pkwy Ste 501
Lawrenceville, GA 30044-2864

Mailing address

PO Box 1519
Lilburn, GA 30048-1519
Phone (770) 962-1616

Other names 1

NPPES NPI Registry
  • Parris & Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2024.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1720189285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300481519",
            "telephone_number": "770-962-1616",
            "fax_number": "770-962-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY STE 501",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442864",
            "telephone_number": "770-962-1616",
            "fax_number": "770-962-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN R PARRIS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-962-1616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "031646",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parris & Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parris & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.