Active NPI
John Parkinson, MD
- Psychiatry Physician
- Wilmington, NC
National Provider Identifier
1881626984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 22160
- Practice address
- 2311 Canterwood Dr
Wilmington, NC 28401-7300 - Phone
- (910) 763-0189
- Fax
- (910) 763-1482
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22160 | NC | Primary |
Addresses
Primary practice location
2311 Canterwood Dr
Wilmington, NC 28401-7300
Mailing address
2311 Canterwood Dr
Wilmington, NC 28401-7300
Phone (910) 763-0189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65430 | Other | NC | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22160 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881626984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 CANTERWOOD DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017300",
"telephone_number": "910-763-0189",
"fax_number": "910-763-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 CANTERWOOD DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017300",
"telephone_number": "910-763-0189",
"fax_number": "910-763-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKINSON",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "22160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "65430",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.