Individual provider Active NPI

Sara Bolen Parker, MD

  • Surgery Physician
  • Jackson, MS
National Provider Identifier
1982239372
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
37236 Issued in MS
Practice address
501 Marshall St Ste 500
Jackson, MS 39202-1615
Phone
(601) 948-1411
Fax
(601) 948-0090
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 37236 MS Primary

Addresses

Primary practice location

501 Marshall St Ste 500
Jackson, MS 39202-1615

Mailing address

501 Marshall St Ste 500
Jackson, MS 39202-1615
Phone (601) 948-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20211103000935 MS Order and Referring Only - General SurgeryPractitioner - General Surgery 8224426721

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 Marshall St
Suite 500
Jackson, MS 39202-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-4278MSMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1982239372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 500",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021615",
            "telephone_number": "601-948-1411",
            "fax_number": "601-948-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 500",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021615",
            "telephone_number": "601-948-1411",
            "fax_number": "601-948-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SARA",
        "middle_name": "BOLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "37236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.