Kenneth Carter, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

06900 Issued in MS

Practice address

1405 N State St
Suite 200
Jackson, MS 39202-1642

Phone

(601) 354-4327

Fax

(601) 360-0822

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mississippi Baptist Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Jackson, MS
  • NPI 1417984360
  NPD (past)
• Radiological Group, PA

  • Specialist
  • Jackson, MS
  • NPI 1346398625
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033207543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NORTH STATE STREET",
            "address_2": "SUITE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N STATE ST",
            "address_2": "SUITE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021642",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "06900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115577",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerikia Sade Carter, MSN, FNP-C
• Joe Jon Carter, DDS
• Joseph Andrew Carter
• Kathryn Link Carter, CRNA
• Keith Landon Carter, MD
• Lillian Rose Carter
• Macy Moore Carter
• Stacey A. Carter, NP
• Tara P. Carter, AGACNP
• William Carter, M.D.

• Specialist in Jackson, MS
• Providers in Jackson, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.