Active NPI
Reginald L Parker, MD
- Family Medicine Physician
- Columbia, SC
National Provider Identifier
1790746709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14862
- Practice address
- 115 Blarney Dr
Ste 101
Columbia, SC 29223-6291 - Phone
- (803) 419-5131
- Fax
- (803) 419-5129
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14862 | SC | |
| Family Medicine Physician | 207Q00000X | 14862 | SC | Primary |
Addresses
Primary practice location
115 Blarney Dr
Ste 101
Columbia, SC 29223-6291
Mailing address
115 Blarney Dr
Ste 101
Columbia, SC 29223-6291
Phone (803) 419-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL2517 | Medicaid | SC |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14862 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northlake Family Medical Practice | Family Medicine | Current | Accepting new patients |
| Hillside Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Allendale County Hospital Board | Past | Accepting new patients | |
| TPCG, Inc | Past | Accepting new patients | |
| Chesterfield-Marlboro LP | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1003928680
-
- Rural Health Clinic/Center
- Allendale, SC
- NPI 1407906878
-
- Emergency Medicine Physician
- Bennettsville, SC
- NPI 1770895674
-
- Emergency Medicine Physician
- Chester, SC
- NPI 1427168897
-
- Health Service Clinic/Center
- Columbia, SC
- NPI 1528140373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1790746709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BLARNEY DR",
"address_2": "STE 101",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236291",
"telephone_number": "803-419-5131",
"fax_number": "803-419-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BLARNEY DR",
"address_2": "STE 101",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236291",
"telephone_number": "803-419-5131",
"fax_number": "803-419-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "REGINALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "14862",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "14862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TL2517",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.