Individual provider Active NPI

James Robert Carpenter, M.D.

  • Family Medicine Physician
  • Prattville, AL
National Provider Identifier
1114968468
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14134 Issued in AL
Practice address
645 McQueen Smith Rd N
Suite 101
Prattville, AL 36066-7268
Phone
(334) 365-5987
Fax
(334) 365-5315
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14134 AL Primary

Addresses

Primary practice location

645 McQueen Smith Rd N
Suite 101
Prattville, AL 36066-7268

Mailing address

645 McQueen Smith Rd N
Suite 101
Prattville, AL 36066-7268
Phone (334) 365-5987

Other identifiers 1

IdentifierTypeStateIssuer
000082242MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000092 AL Practitioner - Family Practice 1355523713 Receives reassigned benefits from 1 practitioner
Practice locations: Prattville, AL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

645 McQueen Smith N Rd
Suite 101
Prattville, AL 36066-7269
Phone (334) 365-5987

645 McQueen Smith Rd N
Suite 101
Prattville, AL 36066-7268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14134ALMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: j.carpenter@jrcarpenter.directbygreenway.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1114968468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH RD N",
            "address_2": "SUITE 101",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667268",
            "telephone_number": "334-365-5987",
            "fax_number": "334-365-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH RD N",
            "address_2": "SUITE 101",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667268",
            "telephone_number": "334-365-5987",
            "fax_number": "334-365-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082242",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.