Individual provider Active NPI

Jason D Parker, D.O.

  • Reproductive Endocrinology Physician
  • Charlotte, NC
National Provider Identifier
1992764278
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
200501502 Issued in NC
Practice address
1524 E Morehead St
Charlotte, NC 28207-1606
Phone
(704) 343-3400
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 200501502 NC Primary

Addresses

Primary practice location

1524 E Morehead St
Charlotte, NC 28207-1606

Mailing address

1524 E Morehead St
Charlotte, NC 28207-1606
Phone (704) 343-3400

Other practice location 1

14135 Ballantyne Corporate Pl Ste 175
Charlotte, NC 28277-3876
Phone (704) 343-3400

Other practice location 2

105 Landings Dr Ste 202
Mooresville, NC 28117-7672
Phone (704) 343-3400

Other identifiers 1

IdentifierTypeStateIssuer
200501502OtherNCNC MEDICAL LICENSE

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
200501502NCMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital Past Accepting new patients
Utah Fertility Center Past Accepting new patients
Reach Fertility, PLLC Reproductive Endocrinology 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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1992764278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071606",
            "telephone_number": "704-343-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071606",
            "telephone_number": "704-343-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14135 Ballantyne Corporate Pl Ste 175",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773876",
            "country_code": "US",
            "telephone_number": "704-343-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Landings Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281177672",
            "country_code": "US",
            "telephone_number": "704-343-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "200501502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "200501502",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.