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MR. CHARLES DAVID PARKS PA-C
NPI 1396663274
Physician Assistant - Surgical in Greensboro, NC

Active since July 08, 2026PECOS Enrolled
3824 N ELM ST STE 201, GREENSBORO, NC 27455(336) 890-2228 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Charles David Parks Pa-c NPPES

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

MR. CHARLES DAVID PARKS PA-C (NPI 1396663274) is an individual surgical provider in Greensboro, North Carolina, licensed in North Carolina (0010-16748) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396663274
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CHARLES DAVID PARKSCredential: PA-C
Location Address3824 N ELM ST STE 201Greensboro, NC 27455-2733
Mailing Address202 S Bunker Hill RdColfax, NC 27235-9724
Phone(336) 890-2228
Sole ProprietorNo
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1396663274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 0010-16748
3824 N ELM ST STE 201, Greensboro, NC 27455
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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)

Mr. Charles David Parks Pa-c 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANUJA DHARAP
Otolaryngology
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 542-2015
SU WOOI TEOH MD PA
Otolaryngology
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 542-2015
HAYLEY MADISON KATZ
Student in an Organized Health Care Education/Training Program
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 890-2228
BRANDON KNIGHT DO
Otolaryngology
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 542-2017
MRS. ANNE MARIE JARRETT AUD, CCC-A
Audiologist
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 890-2228
DONNA MARIE WALTON
Physical Therapist
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 542-2015
DR. SU WOOI TEOH M.D.
Otolaryngology
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 542-2015
ELIZABETH BONILLA AUD
Audiologist
3824 N ELM ST STE 201
GREENSBORO, NC 27455
Guilford County (336) 542-2015

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 Charles Parks's NPI number?

The NPI number for Charles Parks is 1396663274. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Charles Parks located?

Charles Parks practices at 3824 N Elm St Ste 201, Greensboro, NC 27455. The listed phone number is (336) 890-2228.

What is Charles Parks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Charles Parks enrolled in Medicare?

Yes. Charles Parks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Parks was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.