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DR. JEREMY WAYNE PARKER D.M.D.
NPI 1265744510
Dentist - General Practice in Diberville, MS

Active since July 01, 2010PECOS Enrolled
4299 POPPS FERRY RD, DIBERVILLE, MS 39540(228) 392-0509(228) 392-8709 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Wayne Parker D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY WAYNE PARKER D.M.D. (NPI 1265744510) is an individual general practice provider in Diberville, Mississippi, licensed in Mississippi (3553-10) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265744510
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEREMY WAYNE PARKERCredential: D.M.D.
Location Address4299 POPPS FERRY RDDiberville, MS 39540-2363
Mailing Address4299 Popps Ferry RdDiberville, MS 39540-2363 · (228) 392-0509 · Fax (228) 392-8709
Phone(228) 392-0509
Fax(228) 392-8709
Sole ProprietorYes
Enumeration DateJuly 1, 2010
Last NPPES UpdateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1265744510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 3553-10
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4299 POPPS FERRY RD, Diberville, MS 39540
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Wayne Parker D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Parker's NPI number?

The NPI number for Jeremy Parker is 1265744510. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Jeremy Parker located?

Jeremy Parker practices at 4299 Popps Ferry Rd, Diberville, MS 39540. The listed phone number is (228) 392-0509.

What is Jeremy Parker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeremy Parker enrolled in Medicare?

Yes. Jeremy Parker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Parker was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.