Jose A Carlo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19599 Issued in MS

Practice address

1911 Read Rd
Picayune, MS 39466-2730

Phone

(601) 450-3500

Fax

(601) 450-3504

NPI assigned

Dec 21, 2006

Last updated

Jul 17, 2012By the provider in NPPES

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Highland Health MD, PLLC

  • Internal Medicine Physician
  • Picayune, MS
  • NPI 1780855700
  NPD (past) Authorized official
• Bon Secours Charity Health System Medical Group, P.C.

  • Internal Medicine Physician
  • Warwick, NY
  • NPI 1487694345
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1144384173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-3700",
            "fax_number": "601-450-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662730",
            "telephone_number": "601-450-3500",
            "fax_number": "601-450-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLO",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "19599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08971093",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn A Butt, M.D.
• Jessica Byrd
• Jennifer F Cacioppo, FNP
• John H. Campbell, LCSW
• Caring Butterflies Homecare LLC
• Mekdes Ericka Carpenter
• Raquel Nichole Carroll
• Kimberly J Carver
• Tracy Anne Casey, M.C.D., CCC-SLP
• Daiwana D Certain

• Internal Medicine Physician in Picayune, MS
• Providers in Picayune, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.