Individual provider Active NPI

Magan Parker, CRNP

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1932692282
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-121631 Issued in AL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925003728 AL Practitioner - Nurse Practitioner 7810248176 Reassigns benefits to 4 organizations

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
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

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

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC Current Accepting new patients
Cardiology Associates, PA CurrentSince Jun 30, 2018 Accepting new patients
Fairview Clinic, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jul 7, 2025 Accepting new patients
Wiregrass Clinic LLC CurrentSince Oct 1, 2025 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jul 7, 2025 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

  • Direct secure messaging: maganparker@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: magan.parker.1@3134.direct.athenahealth.com
  • Direct secure messaging: magan.parker.1@3326.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.