Individual Healthcare Provider
Jacob C. Parker, DO, MD
Provider's NPPES record last updated: November 11, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1326510751
- Primary Specialty
- Specialist/Technologist, Other
- Practice Location
- Hattiesburg, Mississippi
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:37 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Specialist/Technologist, Other
Technologists, Technicians & Other Technical Service Providers
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Taxonomy code 246Z00000X Psychologist
Psychoanalysis
Behavioral Health & Social Service Providers
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
Taxonomy code 103TP0814XRegistered Nurse
Case Management
Nursing Service Providers
Definition to come...
Taxonomy code 163WC0400X
Provider-Reported License Information
- Specialist/Technologist, Other (Mississippi)
- 800341120
- Psychologist (Illinois)
- 8420042213
- Registered Nurse (Mississippi)
- MS80885
- Specialist/Technologist, Other (Hawaii)
- 800341120
Practice Locations
Practice Location
300 Fairway Dr
Hattiesburg, Mississippi 39401-7715
Phone: (601) 307-5339
Additional Practice Location
229 Paoakalani Ave # 714
Honolulu, Hawaii 96815-3764
Phone: (650) 253-0000
Fax: (650) 253-0001
Additional Practice Location
5001 Hardy St # 8
Hattiesburg, Mississippi 39402-1308
Phone: (601) 268-8000
Additional Practice Location
3301 N Milwaukee St
Denver, Colorado 80205-4322
Phone: (601) 307-8060
Record Information
- Enumeration Date
- December 24, 2018
- Provider's NPPES Record Last Updated
- November 11, 2025
- Certification Date
- November 11, 2025
- Deactivation Date
- September 22, 2020
- Reactivation Date
- July 20, 2021
- NPISignal NPPES Dataset
- August 2026
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