Active NPI
Thomas Earl Parrish Jr., M.D.
- Family Medicine Physician
- Mount Airy, NC
National Provider Identifier
1790726461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200601596
- Practice address
- 865 W Lake Dr
Mount Airy, NC 27030-2157 - Phone
- (336) 719-6100
- Fax
- (336) 719-2313
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11457 | SC | |
| Family Medicine Physician | 207Q00000X | 200601596 | NC | Primary |
Addresses
Primary practice location
865 W Lake Dr
Mount Airy, NC 27030-2157
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 719-6100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89066XN | Medicaid | NC | |
| 114575 | Medicaid | SC | |
| 1431K | Other | NC | BCBS, NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tparrish5384@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11457 | SC | MD | Social Worker |
| 200601596 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- tparrish5384@direct.novanthealth.org
Organizations & group practices 1
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": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790726461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-719-6100",
"fax_number": "336-719-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 W LAKE DR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302157",
"telephone_number": "336-719-6100",
"fax_number": "336-719-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "THOMAS",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2023-03-07",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "11457",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200601596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89066XN",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114575",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS, NC",
"identifier": "1431K",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tparrish5384@direct.novanthealth.org",
"affiliation": "N",
"address_1": "865 W Lake Dr",
"city": "Mount Airy",
"state": "NC",
"country_code": "US",
"postal_code": "270302157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.