Active NPI
Thomas William Carswell Jr., MD
- Pain Medicine Physician
- Decatur, GA
National Provider Identifier
1093936049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- GA 026238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090601000004 | GA | Practitioner - Family Practice | 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA 026238 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Medical Healthcare, Corporation | Current | Accepting new patients | |
| Atlanta Hope Medical Group Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/80f02a57-2bb0-4823-b4e1-a80c1fe53bb1/
- 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.
-
- Specialist
- Decatur, GA
- NPI 1972935781
-
- Family Medicine Physician
- Doraville, GA
- NPI 1447404835
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.