Active NPI
Parrott Medical Clinic PC
- Family Medicine Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036246
- Legal business name
- PARROTT MEDICAL CLINIC PC
- Practice address
- 804 Northwood Park Dr
Valdosta, GA 31602-1392 - Phone
- (229) 249-7888
- Fax
- (229) 241-7810
- NPI assigned
- Aug 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan R Parrott, M.D.
- Title
- Owner/Physician
- Phone
- (229) 249-7888
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036246 | GA | Primary |
Addresses
Primary practice location
804 Northwood Park Dr
Valdosta, GA 31602-1392
Mailing address
PO Box 3225
Valdosta, GA 31604-3225
Phone (229) 249-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1106686 | Parrott Medical Clinic PC | Certificate of waiver | Oct 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
804 Northwood Park Dr
Valdosta, GA 31602
Phone (229) 249-7888
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- General Practice Physician
- Valdosta, GA
- NPI 1962470385
-
- Family Nurse Practitioner
- Valdosta, GA
- NPI 1275264350
-
- Physician Assistant
- Moody AFB, GA
- NPI 1710947767
-
- Physician Assistant
- Valdosta, GA
- NPI 1437381266
-
- Family Nurse Practitioner
- Thomasville, GA
- NPI 1730133521
-
- Family Nurse Practitioner
- Valdosta, GA
- NPI 1457600298
-
- Family Nurse Practitioner
- Valdosta, GA
- NPI 1427615871
-
- Nurse Practitioner
- Douglas, GA
- NPI 1841270139
-
- Medical Physician Assistant
- Atlanta, GA
- NPI 1871808931
-
- Physician Assistant
- Tifton, GA
- NPI 1457329641
-
- Physician Assistant
- Valdosta, GA
- NPI 1609232495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1912138116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3225",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316043225",
"telephone_number": "229-249-7888",
"fax_number": "229-241-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 NORTHWOOD PARK DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021392",
"telephone_number": "229-249-7888",
"fax_number": "229-241-7810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARROTT MEDICAL CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "PARROTT",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "229-249-7888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "036246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.