MARCUS L PARKER (NPI# 1679583371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679583371 |
| Entity Type | Individual |
| Full Name | MARCUS L PARKER |
| Credential | PA-C |
| Practice Address |
3708 Northside Drive Macon GA 31210 |
| Mailing Address |
102 Lance Dr Macon GA 31216-6170 |
| Practice Telephone | 4787454206 |
| Practice Fax Number | 4782545324 |
| Mailing Telephone | 4783206923 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004556 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 930868777A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538200969 | Marcus William Parker | Radiology | 14802 Tudor Chase Dr, Tampa, FL 33626-3352 | 2007-02-09 |
| 1659303485 | Marcus Karlan Parker | Anesthesiology | 109 Shult Dr Ste 200, Columbus, TX 78934-3015 | 2006-07-06 |
| Street Address |
3708 NORTHSIDE DRIVE |
| City | MACON |
| State | GA |
| Zip Code | 31210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891737334 | Megan S Sapp | Occupational Therapist | 3708 Northside Drive, Macon, GA 31210 | 2006-06-11 |
| 1104240878 | Debra Lynn Allison | Physical Therapist | 3708 Northside Drive, Macon, GA 31210 | 2014-02-14 |
| 1043634017 | David Bruce | Physician Assistant | 3708 Northside Drive, Macon, GA 31210 | 2014-02-12 |
| 1770914434 | Trevor Harbin | Occupational Therapist | 3708 Northside Drive, Macon, GA 31210 | 2013-12-06 |
| 1861827602 | Kevin A Bradt | Physical Therapist | 3708 Northside Drive, Macon, GA 31210 | 2013-09-12 |
| 1508299181 | Jay T Rice | Specialist/Technologist | 3708 Northside Drive, Macon, GA 31210 | 2013-08-19 |
| 1760766059 | Stephen Chastain | Physical Therapy Assistant | 3708 Northside Drive, Macon, GA 31210 | 2011-10-05 |
| 1205002748 | Wayne Kelley Jr. | Orthopaedic Surgery | 3708 Northside Drive, Macon, GA 31210 | 2008-05-05 |
| 1902092372 | Dennis Kent Jorgensen | Orthopaedic Surgery | 3708 Northside Drive, Macon, GA 31210 | 2007-09-19 |
| 1902001670 | Holly P Gore | Nurse Practitioner | 3708 Northside Drive, Macon, GA 31210 | 2007-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854348 | Monica Bruney | Physician Assistant | 101 Preston Ct Ste 103, Macon, GA 31210-5771 | 2020-06-04 |
| 1023677895 | Kathleen Forbes Matthews | Physician Assistant | 3735 Bonita Pl, Macon, GA 31204-1309 | 2019-06-06 |
| 1659773018 | Joseph T. Smoak | Physician Assistant | 4226 Hartley Bridge Road, Suite 104, Macon, GA 31216-4116 | 2014-09-17 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1528235397 | Emmanuel Amwenba Enoghayin | Physician Assistant | 157 Cambridge Way, Macon, GA 31220-8736 | 2008-05-12 |
| 1801000153 | Jennifer L. Hames | Physician Assistant | 771 Orange St, Macon, GA 31201-2126 | 2007-05-09 |
| 1093847840 | Betty Jo Lynn Fancher | Physician Assistant | 3711 Eisenhower Pkwy, Macon, GA 31206-3672 | 2007-03-09 |
| 1659322105 | Christopher B Kelley | Physician Assistant | 201 Oakleaf Dr, Macon, GA 31210-1924 | 2006-05-12 |
| 1275591828 | Delano Parker | Physician Assistant | 1157 Forsyth Street, Macon, GA 31201 | 2006-05-03 |
| 1609869197 | Deborah D Moore | Physician Assistant | 1157 Forsyth St, Macon, GA 31201-7452 | 2005-08-30 |
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| 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.