Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy Agu Parker, MD

Individual provider Psychosomatic Medicine Physician · NPI 1780027888

Dr. Jeremy Agu Parker, MD is a Psychiatry in Providence, Rhode Island. Qualified in 2013, 13 years ago. Practices with Prospect Chartercare Rwmc, LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
13
Licensed in
RI
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychosomatic Medicine Physician (primary) Taxonomy 2084P0015X · Licence MD18857 (RI)

Record details

NPI number1780027888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Prospect Chartercare Rwmc, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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