Jancy Allison Parkerson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10973 Issued in TN

Practice address

4141 Ringgold Rd
East Ridge, TN 37412

Phone

(423) 698-3607

NPI assigned

Apr 15, 2013

Last updated

Jul 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1972946424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 HEARTFIELD CT",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433493",
            "telephone_number": "478-231-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "37412",
            "telephone_number": "423-698-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5172 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308132802",
            "country_code": "US",
            "telephone_number": "478-231-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5172 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308132802",
            "country_code": "US",
            "telephone_number": "478-231-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKERSON",
        "first_name": "JANCY",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014584",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith William Myers, PTA
• Anne Rebecca Neumann, FNP-C
• Ruth A Nielson, DC
• Nathaniel Graham Norman, PHARMD
• Kurtisha Norris
• Kalpeshkumar Rameshbhai Patel, PHARMACIST
• Kenneth W Patric Jr., MD
• Bruce Allen Pendley, MD
• Carlina Lopez Pendon, FNP-C
• Tessa K Poteralski, PT

• General Practice Dentistry in East Ridge, TN
• Providers in East Ridge, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.