Individual provider Active NPI

Telfair H Parker, M.D.

  • Surgery Physician
  • Charleston, SC
National Provider Identifier
1922110170
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7706 Issued in SC
Practice address
510 Albemarle Rd
Charleston, SC 29407-7540
Phone
(843) 723-6426
Fax
(843) 722-2193
NPI assigned
Aug 31, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7706 SC Primary

Addresses

Primary practice location

510 Albemarle Rd
Charleston, SC 29407-7540

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 1

IdentifierTypeStateIssuer
077062MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100927000615 SC Practitioner - General Surgery 7618928300 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7706SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Surgery Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jan 1, 2011 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jan 1, 2011 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
Surgical Associates of Charleston, P.a. PastSince Jul 17, 2003 Accepting new patients
Cox Surgical LLC Surgery Past Accepting new patients

Locations

1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651

510 Albemarle Rd
Charleston, SC 29407
Phone (843) 266-5500

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1922110170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALBEMARLE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077540",
            "telephone_number": "843-723-6426",
            "fax_number": "843-722-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TELFAIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "7706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077062",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.