Individual provider Active NPI

David C Parish, MD

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1790861631
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026355 Issued in GA
Practice address
707 Pine Street
Macon, GA 31201
Phone
(478) 301-5801
Fax
(478) 301-2387
NPI assigned
Oct 31, 2006
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 026355 GA Primary

Addresses

Primary practice location

707 Pine Street
Macon, GA 31201

Mailing address

PO Box 4947
Macon, GA 31208-4947
Phone (478) 301-2362

Other identifiers 2

IdentifierTypeStateIssuer
000288604FMedicaidGA
110183237OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050829000357 GA Practitioner - Internal Medicine 3779514831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

764 Pine St
Macon, GA 31201-2107
Phone (478) 633-1721

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026355GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Apr 30, 2024 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Aug 1, 2006 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Apr 30, 2024 Accepting new patients
Mercer Physical Therapy CurrentSince Jun 14, 1999 Accepting new patients
The Corporation of Mercer University CurrentSince Jun 14, 1999 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1550 College St
Macon, GA 31207
Phone (478) 301-2600

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

707 Pine St
Macon, GA 31201
Phone (478) 301-5800

764 Pine St
Macon, GA 31201
Phone (478) 633-1056

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
First Choice Primary Care, Inc.Warner Robins, GA, CCN 111970 Federally qualified health center Corporate Director (10%) Jan 1, 2014
Ingram-Pye Health CenterMacon, GA, CCN 111014 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Sep 1, 2011
Sep 1, 2011
First Choice Primary Care, Inc.Macon, GA, CCN 111015 Federally qualified health center Operational/Managerial Control (10%) Nov 1, 2007
First Choice Primary Care, Inc. at DaybreakMacon, GA, CCN 111045 Federally qualified health center Operational/Managerial Control (10%) Sep 1, 2011
First Choice Primary Care, Inc.Macon, GA, CCN 111069 Federally qualified health center Operational/Managerial Control (10%) Sep 1, 2011
First Choice Primary Care, Inc.Macon, GA, CCN 851161 Federally qualified health center Corporate Director (7.14%) Jul 1, 2007
FCPC Bruce Elementary SBHCMacon, GA, CCN C21039 Federally qualified health center Corporate Director Jul 1, 2007

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1790861631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4947",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084947",
            "telephone_number": "478-301-2362",
            "fax_number": "478-301-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PINE STREET",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-301-5801",
            "fax_number": "478-301-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "026355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000288604F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110183237",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.