Active NPI
James Bruce Carr II, PA-C
- Physician Assistant
- Richmond, VA
National Provider Identifier
1013993443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004183
- Practice address
- 2300 E Parham Rd
Richmond, VA 23228-3118 - Phone
- (804) 264-7808
- NPI assigned
- Dec 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004183 | VA | Primary |
Addresses
Primary practice location
2300 E Parham Rd
Richmond, VA 23228-3118
Mailing address
46041 W Belle Avenue
Maricopa, AZ 85239
Phone (520) 868-8443
Other practice location 1
US Public Health Clinic
3250 N. Pinal Parkway
Florence, AZ 85232
Phone (520) 868-8446
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VAExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3436 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Grande Emergency Physicians PLLC | Past | Accepting new patients | |
| Az Corridor Emergency Physicians | Physician Assistant | Past | Accepting new patients |
| Ice Health Service Corps | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1487838652
-
- Emergency Medicine Physician
- Casa Grande, AZ
- NPI 1316152333
Physician Assistant
-
- Emergency Medicine Physician
- Casa Grande, AZ
- NPI 1871589051
-
- Federal Public Health Clinic/Center
- Florence, AZ
- NPI 1841634201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1013993443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46041 W BELLE AVENUE",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "85239",
"telephone_number": "520-868-8443",
"fax_number": "520-868-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232283118",
"telephone_number": "804-264-7808"
}
],
"practiceLocations": [
{
"address_1": "US Public Health Clinic",
"address_2": "3250 N. Pinal Parkway",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AZ",
"postal_code": "85232",
"country_code": "US",
"telephone_number": "520-868-8446",
"fax_number": "520-868-1547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "JAMES",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-18",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004183",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VAExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2300 E Parham Rd",
"city": "Richmond",
"state": "VA",
"country_code": "US",
"postal_code": "232283118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.