Individual provider Active NPI

Marshal Ray Parsons, M.D.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1821196403
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30222 Issued in NC
Practice address
300 Billingsley Rd Ste 105
Charlotte, NC 28211-1084
Phone
(704) 384-4098
Fax
(704) 384-4173
NPI assigned
Sep 20, 2006
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30222 NC Primary

Addresses

Primary practice location

300 Billingsley Rd Ste 105
Charlotte, NC 28211-1084

Mailing address

PO Box 601529
Charlotte, NC 28260-1529

Other identifiers 3

IdentifierTypeStateIssuer
8965682MedicaidNC
65682OtherNYBLUE CROSS BLUE SHIELD #
N30222OtherSCSC MEDICAID #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mparsons310642@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180926000273 NC Practitioner - General Surgery 7517956360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients

Locations

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

125 Baldwin Ave
Ste 100
Charlotte, NC 28204
Phone (704) 316-1900

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

1918 Randolph Rd
Ste 350
Charlotte, NC 28207
Phone (704) 384-1750

Interoperability endpoints

  • Direct secure messaging: mparsons310642@direct.novanthealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1821196403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601529",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111084",
            "telephone_number": "704-384-4098",
            "fax_number": "704-384-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "MARSHAL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "30222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965682",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "65682",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID #",
            "identifier": "N30222",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mparsons310642@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "300 Billingsley Rd Ste 105",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.