Organization Active NPI

Jessica Parker

  • Specialist
  • Athens, GA
National Provider Identifier
1841741063
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CSW005864 Issued in GA
Legal business name
JESSICA PARKER
Practice address
1060 Gaines School Rd , Suite A4C
Athens, GA 30605
Phone
(706) 614-3121
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Jessica Parker, LCSWNPI 1306380746
Title
Therapist
Phone
(706) 614-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CSW005864 GA Primary

Addresses

Primary practice location

1060 Gaines School Rd , Suite A4C
Athens, GA 30605

Mailing address

1060 Gaines School Rd Ste A4C
Athens, GA 30605-3100
Phone (706) 614-3132

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1841741063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAINES SCHOOL RD STE A4C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053100",
            "telephone_number": "706-614-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAINES SCHOOL RD , SUITE A4C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30605",
            "telephone_number": "706-614-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA PARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "706-614-3132",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "CSW005864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.