Carter Ennis McDaniel III, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

11904 Issued in TN

Practice address

6029 Walnut Grove Rd
Suite 404
Memphis, TN 38120-2112

Phone

(901) 726-1056

Fax

(901) 726-5867

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1144330424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD",
            "address_2": "SUITE 404",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-726-1056",
            "fax_number": "901-726-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD",
            "address_2": "SUITE 404",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-726-1056",
            "fax_number": "901-726-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CARTER",
        "middle_name": "ENNIS",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "11904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007130",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel McCullough, MFTA
• Ashley Victoria McCurdy, FNP
• Grace Ann McCurdy, MD
• Kaitlin K McDade, PT
• Darah Lockhart McDaniel-Chandler, O.D.
• David Lewis McDaniel Jr.
• Kaitlin Michelle McDaniel, PA-C
• Kimberly Danielle McDaniel, LCSW
• Stephen McDaniel, NP
• Tuwanna Lynn McDaniel, RN

• Surgery Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.