Individual provider Active NPI

Jordan Clay Parker, M.D.

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1962896928
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD.35293 Issued in AL
Practice address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone
(205) 971-1000
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD.35293 AL Primary

Addresses

Primary practice location

3690 Grandview Pkwy
Birmingham, AL 35243-3326

Mailing address

3104 Blue Lake Dr Ste 110
Vestavia, AL 35243-2372
Phone (205) 977-1949

Other practice location 1

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302000568 AL Practitioner - Anesthesiology 5597051581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Lake Health Alabama, LLCGroup PAC ID 8325415375, 39 clinicians
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

103 Helton CT
Florence, AL 35630-1464
Phone (205) 848-2925

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.35293ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Lake Health Alabama, LLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Anesthesiologists Associated PC CurrentSince Dec 14, 2019 Accepting new patients
Anesthesiologists Associated PC Anesthesiology CurrentSince Dec 14, 2019 Accepting new patients
Southside Pain Specialists, PC CurrentSince Jan 12, 2022 Accepting new patients

Locations

1020 26th St S
Birmingham, AL 35205
Phone (205) 332-3155

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

2637 Valleydale Rd
#200
Hoover, AL 35244

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3104 Blue Lake Dr
Ste 110
Vestavia, AL 35243
Phone (205) 783-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2264/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1962896928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR STE 110",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432372",
            "telephone_number": "205-977-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111303",
            "country_code": "US",
            "telephone_number": "205-783-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JORDAN",
        "middle_name": "CLAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "MD.35293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.