KEVIN L CARSON (NPI# 1649257825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649257825 |
| Entity Type | Individual |
| Full Name | KEVIN L CARSON |
| Credential | MD |
| Practice Address |
7130 Mt Zion Blvd Suite 10 Jonesboro GA 30236 |
| Practice Telephone | 7705064007 |
| Mailing Telephone | 7705064007 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
043894 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000757314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609880715 | Kevin Wright Carson | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2006-07-27 |
| Street Address |
7130 MT ZION BLVD SUITE 10 |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902883168 | Sendhil K Subramanian | Radiology | 7130 Mount Zion Blvd, Suite 10, Jonesboro, GA 30236-2566 | 2005-12-29 |
| 1144674409 | Pain & Interventional Radiology Specialists, P.a. | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675812 | Kare Asc, LLC | Radiology | 4165 Old Milton Pkwy Ste 150b, Alpharetta, GA 30005-4477 | 2019-12-03 |
| 1710541990 | Vascular Atlanta Inc | Radiology | 3840 Peachtree Industrial Blvd Ste 275b, Duluth, GA 30096-5031 | 2019-04-23 |
| 1063903078 | South Atlanta Vascular Institute, LLC | Radiology | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 | 2018-05-24 |
| 1780184218 | Preferred Vascular Services Northeast | Radiology | 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 | 2018-02-21 |
| 1417229741 | Northeast Atlanta Vascular Care, LLC | Radiology | 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 | 2012-02-01 |
| 1932479813 | Peter Sones | Radiology | 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 | 2012-01-09 |
| 1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
| 1114242930 | Alkesh Ashwinkumar Amin | Radiology | Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 | 2010-04-05 |
| 1144543877 | Kuraoka Clinic | Radiology | 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 | 2010-03-09 |
| 1447415393 | Vascular Access Center of Warner Robins LLC | Radiology | 516 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6308 | 2008-07-21 |
| Find all providers with the same taxonomy | ||||
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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.