Caroline Gay Carr, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA07933 Issued in TX

Practice address

1313 Ranch Road 620 S
Suite 201
Lakeway, TX 78734-6316

Phone

(512) 263-0057

Fax

(512) 263-0221

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  TX

  Medicare reassignment Care Compare group
• Lakeway Dermatology and Skin Cancer

  • Dermatology Physician
  • Lakeway, TX
  • NPI 1780765172
  NPD (past)
• Beverly Hills Dermatology Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1669886388
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1083767693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 RANCH ROAD 620 S",
            "address_2": "SUITE 201",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346316",
            "telephone_number": "512-263-0057",
            "fax_number": "512-263-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 RANCH ROAD 620 S",
            "address_2": "SUITE 201",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346316",
            "telephone_number": "512-263-0057",
            "fax_number": "512-263-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CAROLINE",
        "middle_name": "GAY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynne Buechler, DDS
• Valeria Caceres Plata
• Candice Ackerman, PHD, PLLC
• Charles Thomas Cansler, LPC
• Carousel Management, Inc
• Carrie M Carretta, PHD, APN-C
• Christopher Casey
• Christopher E Casstevens, M.D.
• Catherine Winsby Casto, DPT
• Cec Lakeway ER Physicians PLLC

• Medical Physician Assistant in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.