Individual provider Active NPI

Elizabeth Parks, MD

  • Family Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1760918957
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227955 Issued in NC
Practice address
590 Manning Dr
Chapel Hill, NC 27599-6119
Phone
(984) 974-0210
Fax
(919) 966-6126
NPI assigned
May 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 227955 NC Primary

Addresses

Primary practice location

590 Manning Dr
Chapel Hill, NC 27599-6119

Mailing address

590 Manning Dr
Chapel Hill, NC 27599-6119
Phone (984) 974-0210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eparks306014@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210826000414 WA Practitioner - Family Practice 3678843315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Indian Health BoardGroup PAC ID 7517866973, 29 clinicians
Swedish Health ServicesGroup PAC ID 4183522931, 23 clinicians

Practice addresses (Care Compare)

124 2ND Ave S
Seattle, WA 98104-5168
Phone (206) 324-9360

550 16TH Ave
Suite 100
Seattle, WA 98122-5636
Phone (206) 320-2484

611 12TH Ave S
Seattle, WA 98144-1910

611 12TH Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227955NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Family Medicine CurrentSince Aug 25, 2024 Accepting new patients
Seattle Indian Health Board Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Seattle Indian Health Board Family Medicine Current Accepting new patients
Seattle Indian Health Board CurrentSince Sep 1, 2021 Accepting new patients
Swedish Health Services Past Accepting new patients
Seattle Indian Health Board Past Accepting new patients

Locations

550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900

124 2nd Ave S
Seattle, WA 98104
Phone (206) 292-6214

12736 33rd Ave NE
#200
Seattle, WA 98125
Phone (206) 324-9360

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

Interoperability endpoints

  • Direct secure messaging: eparks362852@direct.ochin.org
  • Direct secure messaging: eparks306014@direct.unc.nchie.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1760918957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996119",
            "telephone_number": "984-974-0210",
            "fax_number": "919-966-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996119",
            "telephone_number": "984-974-0210",
            "fax_number": "919-966-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "227955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eparks306014@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "590 Manning Dr",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275996119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.