JAMES R CARROLL MD PA (NPI# 1457308470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457308470 |
| Entity Type | Organization |
| Organization Name | JAMES R CARROLL MD PA |
| Practice Address |
2845 E Highway 76 Suite 2 Mullins SC 29574-6037 |
| Practice Telephone | 8434312730 |
| Practice Fax Number | 8434312735 |
| Mailing Telephone | 8434312730 |
| Mailing Fax Number | 8434312735 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | JAMES R CARROLL (OWNER) |
| Authorized Official Telephone | 8434312730 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10340 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4250 | 05 |
| Street Address |
2845 E HIGHWAY 76 SUITE 2 |
| City | MULLINS |
| State | SC |
| Zip Code | 29574-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144692658 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 2845 E Highway 76, Mullins, SC 29574-6037 | 2015-10-23 |
| 1699152744 | Janelle K Harford | Obstetrics & Gynecology | 2845 E Highway 76, Mullins, SC 29574-6037 | 2015-04-28 |
| 1982029799 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2845 E Highway 76, Medical Park 2 Ste 1, Mullins, SC 29574-6037 | 2014-03-03 |
| 1346561602 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 | 2010-06-21 |
| 1588985857 | Marion Physician Services LLC | Internal Medicine | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2010-06-21 |
| 1346561263 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 5, Mullins, SC 29574-6037 | 2010-06-15 |
| 1093049470 | Julianna Maynor | Nurse Practitioner | 2845 E Highway 76, Suite 5, Mullins, SC 29574-6037 | 2009-10-01 |
| 1518166065 | Jun Koike | Obstetrics & Gynecology | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2007-07-15 |
| 1770701153 | Marion Regional Healthcare System | Orthopaedic Surgery | 2845 E Highway 76, Suite 2, Mullins, SC 29574 | 2007-04-23 |
| 1316072382 | Stephen P Regec | Obstetrics & Gynecology | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412921 | Maria Roman | Physical Therapist | 2829 East, Us-76, Mullins, SC 29574 | 2020-03-19 |
| 1679959431 | Healthy Childsmiles, LLC | Clinic/Center | 4504 East Highway 76, Mullins, SC 29574 | 2015-08-04 |
| 1629327549 | Shirley Howell Rogers | Pharmacist | 4005 Cleve Mayers Ct, Mullins, SC 29574 | 2012-09-06 |
| 1588834147 | Monique Hemingway-bell | Speech-Language Pathologist | 2622 Troy Atkinson Road, Mullins, SC 29574 | 2008-03-10 |
| 1932226156 | Patient Response Organization Inc | Ambulance | 142 South Main St, Mullins, SC 29574 | 2007-03-23 |
| 1164573200 | Marion School District Seven | Local Education Agency (LEA) | 3559 South Highway 501, Mullins, SC 29574 | 2007-01-16 |
| 1932270279 | Franklin Gasque Mason | Dentist | 410 South Main St, Mullins, SC 29574 | 2006-11-10 |
| 1033138904 | Iris M Floyd-norris | Family Medicine | 2835 East Highway 76, Ste 7, Mullins, SC 29574 | 2006-07-19 |
| 1790721207 | Home Therapy Inc | Durable Medical Equipment & Medical Supplies | 3391 Hwy. 76 E., Mullins, SC 29574 | 2006-06-22 |
| 1205876273 | John C Bilder | Dentist | 410 South Main Street, Mullins, SC 29574 | 2006-06-07 |
| Find all providers in zip 29574 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930518 | Mullins Surgery Center | Specialist | 119 W Lowman St, 119 West Lowman Street, Mullins, SC 29574-3107 | 2006-04-11 |
| 1841248085 | Robert Louis De Grood | Specialist | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977902 | Angela Bussey Washington | Specialist | 109 W Buena Vista Ave, North Augusta, SC 29841-3832 | 2020-06-21 |
| 1821630492 | Renell Nesbitt | Specialist | 818 Tom Hall St Ste 110, Fort Mill, SC 29715-2046 | 2019-10-15 |
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1770049801 | Medical Revenue Services | Specialist | 82 Monte Sano Dr Ste 2, Hanahan, SC 29410-8618 | 2019-02-13 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1942741087 | James P Ceglie | Specialist | 400 Se Main St, Simpsonville, SC 29681-2689 | 2017-03-08 |
| 1003356213 | Jillian Jenay Mays | Specialist | 75 Old Trolley Rd Unit 8, Summerville, SC 29485-4900 | 2017-03-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.