Active NPI
Carter W. Brown, PA-C
- Physician Assistant
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0841
- Practice address
- 14 Tsienneto Rd Ste 200a
Derry, NH 03038-1647 - Phone
- (866) 479-3208
- NPI assigned
- Jan 29, 2009
- Last updated
- Oct 31, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3722 | MA | |
| Physician Assistant | 363A00000X | 0841 | NH | Primary |
Addresses
Primary practice location
14 Tsienneto Rd Ste 200a
Derry, NH 03038-1647
Mailing address
100 McGregor St
Manchester, NH 03102-3770
Phone (603) 669-0413
Other practice location 1
100 McGregor St
Manchester, NH 03102-3770
Phone (603) 669-0413
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30339075 | Medicaid | NH | |
| 1114165123 | Other | NH | TRICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staff_mano@gohnh.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14 A Tsienneto Rd
Suite 200
Derry, NH 03038-1505
Phone (603) 404-6800
3 Alumni Dr
Exeter, NH 03833-2123
6 Tsienneto Rd
Suite 101LL
Derry, NH 03038-1584
Phone (603) 537-2060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3722 | MA | MD | Physician Assistant |
| 0841 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Medical Center | Current | Accepting new patients | |
| Core Physicians LLC | Current | Accepting new patients | |
| Core Physicians, LLC | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Quarry State Inpatient Services, LLC | Physician Assistant | Past | Accepting new patients |
| Inpatient Physicians of Derry PLLC | Past | Accepting new patients |
Locations
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
14 Tsienneto Rd
#200A
Derry, NH 03038
Phone (603) 537-3000
14A Tsienneto Rd
Derry, NH 03038
Phone (603) 404-6800
3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180
7 Holland Way
#1
Exeter, NH 03833
6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
Interoperability endpoints
- cbrown452076@direct.bilh.masshiway.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- staff_mano@gohnh.allscriptsdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Exeter, NH
- NPI 1336330588
-
- Internal Medicine Physician
- Derry, NH
- NPI 1669491601
-
- Cardiovascular Disease Physician
- Manchester, NH
- NPI 1386672319
-
dba Manchester Anesthesia Associates
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
dba Core Podiatry
- Durable Medical Equipment & Medical Supplies
- Raymond, NH
- NPI 1083085724
-
- Hospitalist Physician
- Derry, NH
- NPI 1407043896
-
- Hospitalist Physician
- Derry, NH
- NPI 1326384892
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
-
dba Parkland Medical Center
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1114165123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023770",
"telephone_number": "603-669-0413",
"fax_number": "603-663-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 TSIENNETO RD STE 200A",
"city": "DERRY",
"state": "NH",
"postal_code": "030381647",
"telephone_number": "866-479-3208"
}
],
"practiceLocations": [
{
"address_1": "100 McGregor St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031023770",
"country_code": "US",
"telephone_number": "603-669-0413",
"fax_number": "603-663-6350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "CARTER",
"middle_name": "W.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-29",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA3722",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30339075",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1114165123",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staff_mano@gohnh.allscriptsdirect.net",
"affiliation": "N",
"address_1": "100 McGregor St",
"city": "Manchester",
"state": "NH",
"country_code": "US",
"postal_code": "031023770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.