Active NPI
Crystal Legayle Parks, D.O.
- Family Medicine Physician
- Semmes, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO.1645
- Practice address
- 8010 Moffett Rd
Semmes, AL 36575-5406 - Phone
- (251) 645-8946
- Fax
- (251) 645-8976
- NPI assigned
- Apr 10, 2012
- Last updated
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 | DO.1645 | AL | Primary |
Addresses
Primary practice location
8010 Moffett Rd
Semmes, AL 36575-5406
Mailing address
6701 Airport Blvd Ste D143
Mobile, AL 36608-6701
Phone (251) 342-3949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Homeopathic Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3929 Airport Blvd
FL 5
Mobile, AL 36609-1987
PO Box
Suite 850489
Mobile, AL 36685-0489
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1645 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Providence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Alabama Providence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Providence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Alabama Providence Healthcare Services | Current | Accepting new patients | |
| USA Health Community Providers LLC | Family Medicine | Current | Accepting new patients |
| University of South Alabama Mitchell Cancer Institute | Past | Accepting new patients |
Locations
6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880
6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
8010 Moffett Rd
Semmes, AL 36575
Phone (251) 645-8946
Interoperability endpoints
- crystal.parks.1@16253.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Providence Medical Group
- Internal Medicine Physician
- Mobile, AL
- NPI 1245669514
Family Medicine
-
- Family Medicine Physician
- Robertsdale, AL
- NPI 1174952261
-
dba Ascension Providence Diabetes Management Program
- Endocrinology, Diabetes & Metabolism Physician
- Mobile, AL
- NPI 1609446087
-
dba Providence Medical Group
- Internal Medicine Physician
- Mobile, AL
- NPI 1508878083
Family Medicine
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801571823
-
- Multi-Specialty Clinic/Center
- Mobile, AL
- NPI 1023210259
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1760748172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD STE D143",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086701",
"telephone_number": "251-342-3949",
"fax_number": "251-266-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 MOFFETT RD",
"city": "SEMMES",
"state": "AL",
"postal_code": "365755406",
"telephone_number": "251-645-8946",
"fax_number": "251-645-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "CRYSTAL",
"middle_name": "LEGAYLE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO.1645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Semmes, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.