Erica Nicole Parker, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01141 Issued in WV

Practice address

5480 Big Tyler Rd
Cross Lanes, WV 25313-1116

Phone

(304) 776-2409

Fax

(304) 776-2023

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erica Nicole Meadows Former name

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eparker20846@gohealthupmc.direct-ci.com

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.

• Urgent Care, Inc.- West Virginia

  • Urgent Care Clinic/Center
  • South Charleston, WV
  • NPI 1912133315
  Medicare reassignment
• Cross Lanes Family Practice, Inc. (Lab)

  • Clinical Medical Laboratory
  • Cross Lanes, WV
  • NPI 1548347438
  NPD (past)
• Rivertown Medical Clinic

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1962516120
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1760480552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131116",
            "telephone_number": "304-776-2409",
            "fax_number": "304-776-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131116",
            "telephone_number": "304-776-2409",
            "fax_number": "304-776-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253042224",
            "country_code": "US",
            "telephone_number": "304-925-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV LICENSC",
            "identifier": "01141",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "MEADOWS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roosevelt Oliver
• Carrie Elizabeth Osbourn
• Sabrina Elizabeth Osorio
• Ashley Pack
• Tania Page
• Tammy Parrish
• Sherry Charlene Patrick
• Julie Pauley
• Kimberly Pauley
• Stephanie Michell Pauley

• Physician Assistant in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.