Michael Carter, MD
Individual provider Active NPI Otolaryngology Physician · Greenwood, MS
NPI 1053371807 · NPPES record last updated Feb 15, 2019
Key facts
- NPI
- 1053371807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 06901 (MS)
- Practice address
- 1407 Strong Ave
Greenwood, MS 38930-4035 - Phone
- (662) 453-9949
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood Leflore Hospital | Past |
Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 06901 | MS | Yes |
Addresses
Primary practice location
1407 Strong Ave
Greenwood, MS 38930-4035
Mailing address
PO Box 1410
Administration
Greenwood, MS 38935-1410
Phone (662) 459-7189
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125742 | Medicaid | MS | |
| P00382110 | Other | MEDICARE RAILROAD |
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- Amanda Fay Carter
- Lakeita A Cary
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All providers in Greenwood, MS · Otolaryngology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.