Individual provider Active NPI

Janel Smallman Carnes, DPM

  • Podiatrist
  • Lawrenceburg, TN
National Provider Identifier
1114924875
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM000279 Issued in TN
Practice address
406 E Gaines St
Lawrenceburg, TN 38464-3534
Phone
(931) 762-1155
Fax
(931) 762-1155
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM000279 TN Primary

Addresses

Primary practice location

406 E Gaines St
Lawrenceburg, TN 38464-3534

Mailing address

PO Box 652
Lawrenceburg, TN 38464-3534
Phone (931) 762-1155

Other identifiers 2

IdentifierTypeStateIssuer
0050628OtherTNBCBS OF TN
3351196MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000595 TN Practitioner - Podiatry 1850460908 Practice locations: Lawrenceburg, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM000279TNMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1114924875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643534",
            "telephone_number": "931-762-1155",
            "fax_number": "931-762-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E GAINES ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643534",
            "telephone_number": "931-762-1155",
            "fax_number": "931-762-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLMAN CARNES",
        "first_name": "JANEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM000279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "0050628",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351196",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.