Victoria Carroll, MD
Individual provider Active NPI Psychiatry Physician · Butner, NC
NPI 1003089517 · NPPES record last updated Apr 4, 2008
Key facts
- NPI
- 1003089517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 127862 (NC)
- Practice address
- 1003 12TH St
Butner
Butner, NC 27509-1626 - Phone
- (919) 575-7928
- NPI assigned
- Apr 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150928000319 | NC | Order and Referring Only - Psychiatry |
9234447194 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127862 | NC | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 127862 | NC | Yes |
Addresses
Primary practice location
1003 12TH St
Butner
Butner, NC 27509-1626
Mailing address
1003 12TH St
Butner
Butner, NC 27509-1626
Phone (919) 575-7928
Other providers in Butner, NC
- Kassondra Amada Shoemaker Brino
- Amanda Brown
- Kelly Brown
- Kaleigh Caldwell
- Radha G Carlson
- Jill Elizabeth Casserly
- Jesse Oscar Cavenar III
- Mary Kate Cawman
- Central Reg Hospital/Whitaker PRTF
- Central Regional Hospital
All providers in Butner, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.