Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB C. PARKER, DO, MD
Deactivated Sole ProprietorDR. JACOB C. PARKER, DO, MD is a Specialist/Technologist, Surgical healthcare provider located in HATTIESBURG, Mississippi. NPI 1326510751 is deactivated in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · HATTIESBURG, MS
This NPI has been deactivated.
The record was deactivated on September 22, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1326510751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 24, 2018 (1.7459016393443 yrs)
- Last Updated
- Nov 11, 2025
- Deactivated
- Sep 22, 2020
- Licenses
-
800341120 (MS)8420042213 (IL)MS80885 (MS)800341120 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 FAIRWAY DRHATTIESBURG, MS, 394017715Browse MS providers · Browse ZIP 39401
- Phone
- 6013075339
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
- Additional Specialty
- Psychoanalysis (Psychologist)
- Additional Specialty
- Case Management Nurse
- Additional Specialty
- Specialist/Technologist, Surgical
Other Specialist/Technologist, Surgical Providers in HATTIESBURG, MS
| Name | Credential | NPI |
|---|---|---|
| WAVERLY DANIELLE MCSWAIN | — | 1881491850 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.