Individual provider Active NPI

Richard Lee Parker III, MD

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1831382811
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
063000 Issued in GA
Practice address
900 Mohawk Street
Ste E.
Savannah, GA 31419
Phone
(912) 925-0067
Fax
(912) 925-2381
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 063000 GA
Dermatology Physician 207N00000X TL31754 SC
Family Medicine Physician 207Q00000X TL31754 SC
Family Medicine Physician 207Q00000X 063000 GA Primary

Addresses

Primary practice location

900 Mohawk Street
Ste E.
Savannah, GA 31419

Mailing address

900 Mohawk Street
Ste E.
Savannah, GA 31419
Phone (912) 925-0067

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rparker@gscc.encitedirect.com

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
I20090727000319 GA Practitioner - Family PracticePractitioner - Dermatology 0244383032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sidney P Smith MD PCGroup PAC ID 0042206807, 20 clinicians

Practice addresses (Care Compare)

900 Mohawk St
Suite E
Savannah, GA 31419-1768
Phone (912) 925-0067

900 Mohawk St E
Savannah, GA 31419-1768

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision435
Removal of skin lesions1271
Skin biopsy858

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063000GAMDFamily Medicine Physician
TL31754SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Treatment Consultants LLC Current Accepting new patients
Sidney P Smith MD PC Dermatology CurrentSince Jul 10, 2009 Accepting new patients

Locations

928 S 1st St
Jesup, GA 31545
Phone (912) 427-0112

900 Mohawk St
Savannah, GA 31419
Phone (912) 920-2090

900 Mohawk St
Ste E
Savannah, GA 31419

1504 Tebeau St
Waycross, GA 31501

Interoperability endpoints

  • Direct secure messaging: rparker@gscc.encitedirect.com

Organizations & group practices 2

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1831382811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MOHAWK STREET",
            "address_2": "STE E.",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-925-0067",
            "fax_number": "912-925-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MOHAWK STREET",
            "address_2": "STE E.",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-925-0067",
            "fax_number": "912-925-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "063000",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "TL31754",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL31754",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "063000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rparker@gscc.encitedirect.com",
            "affiliation": "N",
            "address_1": "900 Mohawk Street",
            "address_2": "Ste E.",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.