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Active NPI 1538617055 Individual Practitioner Male Practitioner

Jonathan Parker

Specialist • Jackson, TN

Professional Overview & Biography Verified Profile Summary

Jonathan Parker is a registered healthcare professional specializing in Specialist in Jackson, TN. Practice services are available at 95 RIVERPORT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

95 Riverport Dr

Jackson, TN 383015748

Telephone 7312984506
Associated Practice Facility / Clinic
🏢 Lamont Ingram Developmental Organization For At-Risk Children Facility NPI 1588973309

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.4 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
34 Specialists

Practicing in Jackson, TN (784 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License 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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
✅
NPI Profile Active January 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2017

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

📍
Updated Business Mailing Address January 11, 2017

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

👤
Provider Name / Credentials Updated January 11, 2017

Recorded as JONATHAN PARKER

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

Specialist (License #163940 in TN)

✅
NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2016

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

📍
Updated Business Mailing Address September 13, 2016

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

👤
Provider Name / Credentials Updated September 13, 2016

Recorded as JONATHAN PARKER

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

Specialist (License #163940 in TN)

🟢
Initial NPI Registration & Enumeration September 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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
Update or Correct Profile

Mailing Address

95 Riverport Dr

Jackson, TN 383015748

Phone: 7312984506

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.