Individual provider Active NPI

Erica Nicole Parker, M.D.

  • Internal Medicine Physician
  • Brentwood, TN
National Provider Identifier
1821315425
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59957 Issued in TN
Practice address
9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737
Phone
(615) 840-8974
Fax
(615) 807-4811
NPI assigned
Apr 23, 2010
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 01072783A IN
Internal Medicine Physician 207R00000X 59957 TN Primary

Addresses

Primary practice location

9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737

Mailing address

9287 Fordham Dr
Brentwood, TN 37027-1532
Phone (615) 202-1663

Other practice location 1

330 Franklin Rd Ste 135-A270
Brentwood, TN 37027-3280
Phone (615) 274-9767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20191201000039 TN Practitioner - Emergency Medicine 5193959583 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072783AINMDEmergency Medicine Physician
59957TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Iris Medical Group CurrentSince Oct 1, 2022 Accepting new patients
Iris Medical Group Kentucky LLC PastSince Mar 17, 2024 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1821315425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9287 FORDHAM DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271532",
            "telephone_number": "615-202-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD STE C1B",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272737",
            "telephone_number": "615-840-8974",
            "fax_number": "615-807-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Franklin Rd Ste 135-A270",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370273280",
            "country_code": "US",
            "telephone_number": "615-274-9767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01072783A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "59957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.