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DOUGLAS C. PARKER M.D.
NPI 1952350373
Pathology - Anatomic Pathology in Atlanta, GA

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
80 JESSE HILL JR. DR., GRADY MEMORIAL HOSPITAL, ATLANTA, GA 30303(404) 616-7433(404) 616-9804 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Douglas C. Parker M.d. NPPES

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

DOUGLAS C. PARKER M.D. (NPI 1952350373) is an individual anatomic pathology provider in Atlanta, Georgia, licensed in Georgia (051838) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1952350373
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDOUGLAS C. PARKERCredential: M.D.
Location Address80 JESSE HILL JR. DR., GRADY MEMORIAL HOSPITALAtlanta, GA 30303
Mailing Address80 Jesse Hill Jr. Dr., Grady Memorial HospitalAtlanta, GA 30303 · (404) 616-7433 · Fax (404) 616-9804
Phone(404) 616-7433
Fax(404) 616-9804
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1999
Enumeration DateMay 10, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1952350373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in GA · 051838
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 051838 (GA)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas C. Parker M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143352831
PECOS Enrollment IDI20100715000547
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Parker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
The Emory Clinic Inc
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,026 services665 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
332 services97 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
246 services61 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
202 services139 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
193 services153 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
112 services79 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

DR. LARONNA S. COLBERT MD
Internal Medicine (Hematology & Oncology)
80 JESSE HILL JR. DR.
ATLANTA, GA 30303
Fulton County (404) 616-4307
DR. ELIAD NEWTON JOHNSON PHARMD
Pharmacist
80 JESSE HILL JR. DR., GRADY HEALTH SYSTEM, PHARMACY & DRUG INFORMATION DEPT.
ATLANTA, GA 30303
Fulton County (404) 616-1155
GABRIELA OPREA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
80 JESSE HILL JR. DR., ROOM CG-32
ATLANTA, GA 30303
Fulton County (404) 616-7449
MARINA B POPOVIC MOSUNJAC M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
80 JESSE HILL JR. DR., ROOM CG-42
ATLANTA, GA 30303
Fulton County (404) 616-7432
MARIO MOSUNJAC M.D.
Pathology (Anatomic Pathology)
80 JESSE HILL JR. DR., ROOM CG-39
ATLANTA, GA 30303
Fulton County (404) 616-7429
DR. ROGER PANCOAST SIMON MD
Psychiatry & Neurology (Neurology)
80 JESSE HILL JR. DR.
ATLANTA, GA 30303
Fulton County (404) 616-4307
ANDREW N. YOUNG M.D., PH.D.
Pathology (Clinical Pathology/Laboratory Medicine)
80 JESSE HILL JR. DR., GRADY MEMORIAL HOSPITAL
ATLANTA, GA 30303
Fulton County (404) 616-4800
JEFFREY DEAN RICHARDS P.A.
Physician Assistant (Medical)
80 JESSE HILL JR. DR.
ATLANTA, GA 30303
Fulton County (404) 616-5519

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 Douglas Parker's NPI number?

The NPI number for Douglas Parker is 1952350373. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Douglas Parker located?

Douglas Parker practices at 80 Jesse Hill Jr. Dr. Grady Memorial Hospital, Atlanta, GA 30303. The listed phone number is (404) 616-7433.

What is Douglas Parker's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Douglas Parker enrolled in Medicare?

Yes. Douglas Parker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Douglas Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Parker reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Parker accept?

Health plans from Oscar Health list Douglas Parker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Parker affiliated with any hospitals?

According to CMS data, Douglas Parker is affiliated with Phoebe Putney Memorial Hospital, Emory University Hospital, Emory University Hospital Midtown, Grady Memorial Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Parker was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.