WILLIE J PARKS


Address: 5455 Meridian Mark Rd, 530, Atlanta, GA 30342
Phone: 4042562593

WILLIE J PARKS (NPI# 1396785200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396785200
Entity Type Individual
Full Name WILLIE J PARKS
Credential M.D.
Practice Address 5455 Meridian Mark Rd
530
Atlanta
GA 30342
Mailing Address 2835 Brandywine Rd
300
Atlanta
GA 30341
Practice Telephone 4042562593
Practice Fax Number 6785471494
Mailing Telephone 4042562593
Mailing Fax Number 6785471494
Enumeration Date 2006-06-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
025378 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00349557B 05

Other Providers WILLIE PARKS

NPI Name Taxonomy Address Enumeration
1306918172 Willie Joe Parks Jr. Dentist 815 S Fleishel Ave, Tyler, TX 75701-2017 2006-11-15

Office Location

Street Address 5455 MERIDIAN MARK RD
530
City ATLANTA
State GA
Zip Code 30342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295799161 Glen Lew Pediatrics 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342-1654 2006-04-17
1295279917 Lisa Sitz Nurse Practitioner 5455 Meridian Mark Rd, Atlanta, GA 30342 2016-12-14
1952757189 Lindsey Jacobs Nurse Practitioner 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342-1654 2016-05-06
1982943452 Kimberly Nicole Steinberg Nurse Practitioner 5455 Meridian Mark Rd, Suite 130, Atlanta, GA 30342 2013-02-04
1184886947 Joanna Grossman Newton Pediatrics 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342 2008-07-01
1205011954 Kristine Borden Whigham Clinical Neuropsychologist 5455 Meridian Mark Rd, Suite 180, Atlanta, GA 30342 2007-12-31
1275655326 Barunashish Brahma Neurological Surgery 5455 Meridian Mark Rd, Ste 540, Atlanta, GA 30342 2007-04-06
1255475091 Pediatric Neurosurgery Assoc At Children's Healthcare of Atlanta LLC Neurological Surgery 5455 Meridian Mark Rd, Suite 540, Atlanta, GA 30342 2007-02-16
1386714103 J C Shirley Jr. Dentist 5455 Meridian Mark Rd, Suite 200, Atlanta, GA 30342 2006-11-09
1225063308 Robert N Vincent Pediatrics 5455 Meridian Mark Rd, Ste 530, Atlanta, GA 30342 2006-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
Find all providers in zip 30342

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366491953 Derek A Fyfe Pediatrics 1405 Clifton Rd, Atlanta, GA 30322 2006-05-09
1548232036 Lazaros K Kochilas Pediatrics 2835 Brandywine Road, Suite 300, Atlanta, GA 30341-5540 2006-02-07
1487008330 Jay Patel Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2016-04-18
1487099859 James A Nelson Jr. Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-4699 2013-04-30
1770846149 Michael Phillip Fundora Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322 2012-06-20
1669762738 Zahidee Rodriguez Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-3039 2011-04-11
1487943544 Robert Dean Whitehill Pediatrics 5461 Meridian Marks Rd Ste 530, Atlanta, GA 30342-3283 2011-03-29
1851612261 Divya Suthar Pediatrics 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 2010-06-21
1841516838 Yinn Khurn Ooi Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2010-04-15
1922269794 Pediatric Cardiology Services LLC Pediatrics 980 Johnson Ferry Rd Ne, Suite 560, Atlanta, GA 30342-1626 2008-06-24
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Competitor

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City ATLANTA
Zip Code 30342

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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