Individual provider Active NPI

Thomas William Carswell Jr., MD

  • Pain Medicine Physician
  • Decatur, GA
National Provider Identifier
1093936049
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
GA 026238 Issued in GA
Practice address
4153 Flat Shoals Parkway14 Greensprings Dr
Building a Suite 102
Decatur, GA 30034-4106
Phone
(404) 241-7062
Fax
(404) 243-0357
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 026238 GA
Pain Medicine Physician 208VP0000X GA 026238 GA Primary

Addresses

Primary practice location

4153 Flat Shoals Parkway14 Greensprings Dr
Building a Suite 102
Decatur, GA 30034-4106

Mailing address

214 Greensprings Dr
Palmetto, GA 30268-1110
Phone (678) 953-0343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000004 GA Practitioner - Family PracticePractitioner - Pain Management 1355490962

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA 026238GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Medical Healthcare, Corporation CurrentSince May 1, 2016 Accepting new patients
Atlanta Hope Medical Group Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/80f02a57-2bb0-4823-b4e1-a80c1fe53bb1/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGBD/Endpoint/IAJGBD

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1093936049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 GREENSPRINGS DR",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681110",
            "telephone_number": "678-953-0343",
            "fax_number": "770-463-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PARKWAY14 GREENSPRINGS DR",
            "address_2": "BUILDING A SUITE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-241-7062",
            "fax_number": "404-243-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSWELL",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "026238",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "GA   026238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.