Matthew Bernard Carroll, M.D.
Individual provider Active NPI Rheumatology Physician · Pascagoula, MS
NPI 1124247341 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1124247341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 23890 (MS)
- Practice address
- 3101 Denny Ave Ste 240
Pascagoula, MS 39581-5307 - Phone
- (228) 696-9995
- Fax
- (228) 696-9906
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 63
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singing River Health System
Practice addresses (Care Compare)
3603 Bienville Blvd
Ocean Springs, MS 39564-5727
Phone (228) 872-8768
Hospital & facility affiliations
- Singing River Health System
- Singing River Gulfport
- Memorial Hospital at Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110524000601 | MS | Practitioner - Rheumatology |
4981880168 |
Reassigns benefits to 2 organizations Practice locations: Keesler Afb, MS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Gulfport | Current |
Accepting new patients | |
| Singing River Health System | Current |
Accepting new patients | |
| Singing River Health System | Past |
Accepting new patients |
Locations
967 Cedar Lake Rd
#A
Biloxi, MS 39532
Phone (228) 205-6830
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
3603 Bienville Blvd
Ste 203
Ocean Springs, MS 39564
Phone (228) 872-8768
3101 Denny Ave
Ste 240
Pascagoula, MS 39581
Phone (228) 696-9995
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 23890 | MS | Yes |
Addresses
Primary practice location
3101 Denny Ave Ste 240
Pascagoula, MS 39581-5307
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06688263 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcarroll28623@direct.mysrhs.com | Health Information Exchange (HIE) |
Other providers in Pascagoula, MS
- Cardiovascular & Thoracic Surgery
- Cardiovascular Health Center PLLC
- Care and Believe Staffing Solutions Limited Liability Company
- Care for U Home Services LLC
- Jennifer Carney
- Cory Blake Carter
- Caver-Rains Inc
- Miesha Chandler
- Solly Silwan Chedid
- Childrens Clinic of Pascagoula PLLC
All providers in Pascagoula, MS · Rheumatology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.