Michael Ray Karr, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1725 Issued in FL

Practice address

2398 Hartford Dr
Avon Park, FL 33825-9523

Phone

(863) 453-2500

Fax

(863) 453-0745

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

Yes

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.

• Florida Family Rural Health Care LLC

  • Clinic/Center
  • Avon Park, FL
  • NPI 1902944747
  NPD Authorized official
• Holmes Family Practice PA

  • Clinic/Center
  • Lake Wales, FL
  • NPI 1407045487
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2020.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1114065166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 HARTFORD DR",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259523",
            "telephone_number": "863-453-2500",
            "fax_number": "863-453-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 HARTFORD DR",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259523",
            "telephone_number": "863-453-2500",
            "fax_number": "863-453-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARR",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "82933A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660069700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290263000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Jean Pierre III
• Marecia Shafaye Jefferson-Lias
• Sally A Johnson, LMT
• Terry G Johnson, OD
• Alice Denise Jordan McGahee, MS, RBT
• Victoria Frances Kennedy, PTA
• Khurana Family Medicine M.D., P.a.
• Sunaina Khurana, MD
• Brittany Lee-Ann King, PA-C
• Pamela Rose Knickerbocker, D.O.

• All providers in Avon Park, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.

Verify at the official NPI Registry.