Individual provider Active NPI

Christopher G. Carter, PA

  • Physician Assistant
  • Salem, NH
National Provider Identifier
1033358759
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0498 Issued in NH
Practice address
45 Stiles Rd Ste 206
Salem, NH 03079-2851
Phone
(603) 824-6937
Fax
(603) 824-6939
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0498 NH Primary

Addresses

Primary practice location

45 Stiles Rd Ste 206
Salem, NH 03079-2851

Mailing address

45 Stiles Rd Ste 206
Salem, NH 03079-2851
Phone (603) 824-6937

Other practice location 1

2 Courthouse Ln Ste 2
Chelmsford, MA 01824-1743
Phone (978) 455-0807

Other identifiers 2

IdentifierTypeStateIssuer
AP2141OtherNHIC PART B MEDICARE
30332822MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040802000133 NH Practitioner - Physician Assistant 5698746006
I20211217000844 MA Practitioner - Physician Assistant 5698746006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0498NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Recovery Professional Corporation CurrentSince Sep 4, 2021 Accepting new patients
Evercare Medical Associates Past Accepting new patients

Locations

2 Courthouse Ln
Ste 2
Chelmsford, MA 01824
Phone (978) 275-9444

20 Tower Office Park
Woburn, MA 01801
Phone (781) 305-3300

45 Stiles Rd
Ste 206
Salem, NH 03079
Phone (603) 824-6937

1720 Lakepointe Dr
Ste 117
Lewisville, TX 75057

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christopher.carter.1@13144.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1033358759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 STILES RD STE 206",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792851",
            "telephone_number": "603-824-6937",
            "fax_number": "603-824-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 STILES RD STE 206",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792851",
            "telephone_number": "603-824-6937",
            "fax_number": "603-824-6939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Courthouse Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chelmsford",
            "state": "MA",
            "postal_code": "018241743",
            "country_code": "US",
            "telephone_number": "978-455-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC PART B MEDICARE",
            "identifier": "AP2141",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30332822",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.