Individual provider Active NPI

Jayme Erin Parker, DO

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1912528084
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95796 Issued in GA
Practice address
4370 Kings Way
Valdosta, GA 31602-6904
Phone
(229) 433-8181
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 95796 GA Primary

Addresses

Primary practice location

4370 Kings Way
Valdosta, GA 31602-6904

Mailing address

6677 Hagan Bridge Rd
Hahira, GA 31632-3336
Phone (229) 292-7068

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
I20230627002371 GA Practitioner - Family Practice 3779941471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

4370 Kings Way
Suite E
Valdosta, GA 31602-6905
Phone (229) 433-8181

Hospital & facility affiliations

  • Crescent Home Health Home health agency, Adel, GA, CCN 117087
  • Georgia Home Health Services Home health agency, Valdosta, GA, CCN 117058
  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95796GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Physician Network Inc Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients

Locations

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

410 Connell Rd
Ste T
Valdosta, GA 31602
Phone (229) 242-9565

4370 Kings Way
Ste E
Valdosta, GA 31602
Phone (229) 247-7177

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1912528084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 HAGAN BRIDGE RD",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316323336",
            "telephone_number": "229-292-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 KINGS WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026904",
            "telephone_number": "229-433-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JAYME",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "95796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.