Individual provider Active NPI

James Larry Parker, M.D.

  • Neurology Physician
  • Flowood, MS
National Provider Identifier
1912957341
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
06227 Issued in MS
Practice address
1020 River Oaks Dr
Suite 420
Flowood, MS 39232-9500
Phone
(601) 939-0361
Fax
(601) 939-5210
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 06227 MS Primary

Addresses

Primary practice location

1020 River Oaks Dr
Suite 420
Flowood, MS 39232-9500

Mailing address

PO Box 22670
Jackson, MS 39225-2670
Phone (601) 939-0361

Other identifiers 1

IdentifierTypeStateIssuer
00122671MedicaidMS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of Mississippi LLC Past Accepting new patients
Medical Foundation of Central Ms Past Accepting new patients
Ruth K. Fredericks, M.D. Neurology Past Accepting new patients
Premier Medical Group of Mississippi LLC Past Accepting new patients
Premier Medical Management of Mississippi, Inc Past Accepting new patients
Neurological Associates Past Accepting new patients
University Neurology Group, PLLC Neurology Past Accepting new patients

Organizations & group practices 7

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1912957341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22670",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392252670",
            "telephone_number": "601-939-0361",
            "fax_number": "601-939-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "SUITE 420",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329500",
            "telephone_number": "601-939-0361",
            "fax_number": "601-939-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JAMES",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "06227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122671",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.