Active NPI
Magan Parker, CRNP
- Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-121631
- Practice address
- 4300 W Main St Ste 102
Dothan, AL 36305-1306 - Phone
- (334) 793-9564
- Fax
- (334) 340-2880
- NPI assigned
- Jun 12, 2018
- Last updated
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-121631 | AL | Primary |
Addresses
Primary practice location
4300 W Main St Ste 102
Dothan, AL 36305-1306
Mailing address
4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone (334) 793-9564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Westside Dr
Dothan, AL 36303-1928
Phone (334) 793-5074
2431 W Main St
Suite 1102
Dothan, AL 36301-1250
Phone (334) 944-2275
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Cardiology Associates, PA | Current | Accepting new patients | |
| Fairview Clinic, P.C. | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Wiregrass Clinic LLC | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients |
Locations
2740 Headland Ave
Dothan, AL 36303
Phone (334) 792-3200
4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564
2740 Headland Ave
Ste 400
Dothan, AL 36303
1118 Ross Clark Cir
Ste 303
Dothan, AL 36301
Phone (334) 794-3192
210 Westside Dr
Dothan, AL 36303
Phone (334) 793-5074
2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780
1118 Ross Clark Cir
Ste 501
Dothan, AL 36301
Phone (334) 793-9564
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
Interoperability endpoints
- maganparker@dothanspcl.allscriptsdirect.net
- magan.parker.1@3134.direct.athenahealth.com
- magan.parker.1@3326.direct.athenahealth.com
- https://api.platform.athenahealth.com/3134/brand/1/csg/1/fhir/r4
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.
-
dba Empatia Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Dothan, AL
- NPI 1922535400
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1558657890
-
- Cardiovascular Disease Physician
- Dothan, AL
- NPI 1922088798
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1184693053
-
dba Empatia Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Mobile, AL
- NPI 1407361371
-
dba Empatia Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alpharetta, GA
- NPI 1154207769
Hospital & facility affiliations 1
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": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1932692282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MAIN ST STE 102",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051306",
"telephone_number": "334-793-9564",
"fax_number": "334-340-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MAIN ST STE 102",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051306",
"telephone_number": "334-793-9564",
"fax_number": "334-340-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MAGAN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-121631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.