Individual provider Active NPI

Carter W. Brown, PA-C

  • Physician Assistant
  • Derry, NH
National Provider Identifier
1114165123
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0841 Issued in NH
Practice address
14 Tsienneto Rd Ste 200a
Derry, NH 03038-1647
Phone
(866) 479-3208
NPI assigned
Jan 29, 2009
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30339075MedicaidNH
1114165123OtherNHTRICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111024000790 NH Practitioner - Physician Assistant 1658497029 Reassigns benefits to 3 organizations

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
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians

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

LicenseStateTypeSpecialty
PA3722MAMDPhysician Assistant
0841NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Mar 15, 2021 Accepting new patients
Core Physicians LLC CurrentSince Sep 1, 2024 Accepting new patients
Core Physicians, LLC CurrentSince Sep 1, 2024 Accepting new patients
Catholic Medical Center CurrentSince Mar 15, 2021 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 1, 2024 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

  • Direct secure messaging: cbrown452076@direct.bilh.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.