Carnahan Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16014 Issued in MS

Legal business name

CARNAHAN CLINIC PLLC

Practice address

7900 Airways Blvd BLDG a Ste 6
Southaven, MS 38671-4113

Phone

(662) 536-4646

Fax

(662) 536-4443

NPI assigned

Apr 6, 2007

Last updated

Jul 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter E Carnahan, D.O.NPI 1174501449

Title

Owner

Phone

(662) 536-4646

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Earl Carnahan, DO

  • Family Medicine Physician
  • Southaven, MS
  • NPI 1174501449
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1013039288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD BLDG A STE 6",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-536-4646",
            "fax_number": "662-536-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD BLDG A STE 6",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714113",
            "telephone_number": "662-536-4646",
            "fax_number": "662-536-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNAHAN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "CARNAHAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-536-4646",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Clinic for Drug Addiction & Mental Health in North Mississippi
• Care Compass, LLC (Success on the Spectrum - Southaven)
• Care-a-Van Medical Transit LLC
• Carefast LLC
• Caring Hands at Home NMC
• Walter Earl Carnahan, DO
• Donnielle Carney, NP
• Julie J Carpenter, MD
• Gary Dwain Carr, MD
• Jaqueline Tolleson Carter, LPC/MHSP

• Family Medicine Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.