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Jonathan Parker

Specialist β€’ Jackson, TN

Active NPI 1538617055 Individual Practitioner Male Practitioner
Practice location in NPPES

95 Riverport Dr
Jackson, TN 383015748

Call 7312984506 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

95 Riverport Dr

Jackson, TN 383015748

Telephone 7312984506
Organization at the Same NPPES Address or Phone
Lamont Ingram Developmental Organization For At-Risk Children Facility NPI 1588973309

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Tennessee

29 active clinicians are listed under Specialist with a practice address in Jackson, TN (672 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 29 clinicians have the CMS telehealth indicator.

27.6% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES TN 163940

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active January 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 11, 2017

Registered at 95 RIVERPORT DR, JACKSON, TN 383015748 (Tel: 7312984506)

πŸ“
Updated Business Mailing Address January 11, 2017

Registered at 95 RIVERPORT DR, JACKSON, TN 383015748 (Tel: 7312984506)

πŸ‘€
Provider Name / Credentials Updated January 11, 2017

Recorded as JONATHAN PARKER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2017

Specialist (license number reported to NPPES: TN 163940)

βœ…
NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2016

Registered at 621 OLD HICKORY BLVD, SUITE 10, JACKSON, TN 383052907 (Tel: 7312984506)

πŸ“
Business Mailing Address (Initial Record) September 13, 2016

Registered at 621 OLD HICKORY BLVD, SUITE 10, JACKSON, TN 383052907 (Tel: 7312984506)

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2016

Recorded as JONATHAN PARKER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Specialist (license number reported to NPPES: TN 163940)

🟒
Initial NPI Registration & Enumeration September 13, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538617055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2016
Last Update: January 11, 2017
Sole Proprietor: Yes

Other Specialists in Jackson

All Specialists in Jackson

Mailing Address

95 Riverport Dr

Jackson, TN 383015748

Phone: 7312984506

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.