DR. MIRIAM PARKER MD
NPI 1063411924
Internal Medicine in Atlanta, GA


Quality Rating: 92.93 out of 100 score

NPI Status: Active since July 21, 2005

Contact Information

285 BOULEVARD NE
SUITE 140
ATLANTA, GA
ZIP 30312
Phone: (404) 265-1044
Fax: (404) 265-1047

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  • Individual
  • Female
  • Internal Medicine

About MIRIAM PARKER

This page provides the complete NPI Profile along with additional information for Miriam Parker, an internist established in Atlanta, Georgia with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1063411924 assigned on July 2005. The practitioner's primary taxonomy code is 207R00000X with license number 040511 (GA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1063411924
Provider Name
DR. MIRIAM PARKER MD
Gender
Female
Entity Type
Individual
Location Address
285 BOULEVARD NE SUITE 140 ATLANTA, GA 30312
Location Phone
(404) 265-1044
Location Fax
(404) 265-1047
Mailing Address
285 BOULEVARD NE 525 ATLANTA, GA 30312
Mailing Phone
(404) 265-1044
Is Sole Proprietor?
No
Enumeration Date
07-21-2005
Last Update Date
10-11-2019
Code Navigator

An internist like Miriam Parker is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
040511
License State
GA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00675045 E, F, HMEDICAID (05)GA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 37 times for 17 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 15 times for 11 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 12 times for 12 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.93, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.93 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 80.38

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063411924, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 1 + 2 + 9 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1063411924.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
285 BOULEVARD NE, SUITE 435
ATLANTA, GA 30312
Obstetrics & Gynecology
285 BOULEVARD NE, SUITE 520
ATLANTA, GA 30312
Specialist
285 BOULEVARD NE
ATLANTA, GA 30312
Obstetrics & Gynecology (Gynecology)
285 BOULEVARD NE, #520
ATLANTA, GA 30312
Pediatrics
285 BOULEVARD NE, STE 235
ATLANTA, GA 30312
Specialist
285 BOULEVARD NE, SUITE 440
ATLANTA, GA 30312
Pediatrics
285 BOULEVARD NE, STE 235
ATLANTA, GA 30312
Specialist
285 BOULEVARD NE, SUITE 515
ATLANTA, GA 30312
Physical Therapist
285 BOULEVARD NE, SUITE 310
ATLANTA, GA 30312
Family Medicine
285 BOULEVARD NE, SUITE 435
ATLANTA, GA 30312
Pediatrics
285 BOULEVARD NE, SUITE 235
ATLANTA, GA 30312
Chiropractor
285 BOULEVARD NE, SUITE 435
ATLANTA, GA 30312
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
285 BOULEVARD NE, SUITE 110
ATLANTA, GA 30312
Obstetrics & Gynecology (Obstetrics)
285 BOULEVARD NE, SUITE 520
ATLANTA, GA 30312
Chiropractor
285 BOULEVARD NE, SUITE 610
ATLANTA, GA 30312
Social Worker (Clinical)
285 BOULEVARD NE, SUITE 315
ATLANTA, GA 30312
Family Medicine
285 BOULEVARD NE, 120A
ATLANTA, GA 30312
Neurological Surgery
285 BOULEVARD NE, SUITE 635
ATLANTA, GA 30312
Specialist
285 BOULEVARD NE, STE 215
ATLANTA, GA 30312
Surgery
285 BOULEVARD NE, SUITE 620
ATLANTA, GA 30312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063411924, enumerated as an "individual" on July 21, 2005.

The provider is located at 285 BOULEVARD NE SUITE 140 ATLANTA, GA 30312 and the phone number is (404) 265-1044.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.