Active NPI
Barry Mitchell Parker, M.D.
- Diagnostic Radiology Physician
- Dublin, GA
National Provider Identifier
1962450874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 033173
- Practice address
- 2406 Bellevue Rd
Erin Office Park,BLDG 12
Dublin, GA 31021-2842 - Phone
- (478) 275-0580
- Fax
- (478) 272-0538
- NPI assigned
- May 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 033173 | GA | Primary |
Addresses
Primary practice location
2406 Bellevue Rd
Erin Office Park,BLDG 12
Dublin, GA 31021-2842
Mailing address
2480 Claxton Dairy Rd
Dublin, GA 31021-4427
Phone (478) 275-8634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00429338A | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033173 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Middle Georgia Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Dublin, LLC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Diagnostic Radiology Physician
- Dublin, GA
- NPI 1427008598
-
- Diagnostic Radiology Physician
- Dublin, GA
- NPI 1356390595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962450874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 CLAXTON DAIRY RD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214427",
"telephone_number": "478-275-8634",
"fax_number": "478-272-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 BELLEVUE RD",
"address_2": "ERIN OFFICE PARK,BLDG 12",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212842",
"telephone_number": "478-275-0580",
"fax_number": "478-272-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "BARRY",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "033173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00429338A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.