Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas Campbell Parker, PA-C

Individual provider Physician Assistant · NPI 1164159893

Mr. Nicholas Campbell Parker, PA-C is a Physician Assistant in Crossville, Tennessee. Graduated from Southern College of Medicine and Surgery in 2022, 4 years ago. Practices with Georgia Skin Cancer and Aestheitic Dermatology, LLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
Trained at
Southern College of Medicine and Surgery
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

29 Taylor Ave Ste 101
Crossville, TN 38555-4536
Phone: (931) 484-6061
Fax: (931) 484-6062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 567 S Willow Ave, Cookeville, TN 38501-3801 — (931) 484-6061

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164159893
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2022
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN COLLEGE OF MEDICINE AND SURGERY
Graduated 2022 (4 years in practice)
Group practice Georgia Skin Cancer And Aestheitic Dermatology, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Crossville