NPIMap

Individual provider Active NPI

Andy Bruce Carter, D.O.

  • Family Medicine Physician
  • Crestview, FL
National Provider Identifier
1144451550
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10740 Issued in FL
Practice address
613 Red Fern Rd
Crestview, FL 32536-5472
Phone
(407) 733-2037
NPI assigned
Aug 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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 OS10740 FL Primary

Addresses

Primary practice location

613 Red Fern Rd
Crestview, FL 32536-5472

Mailing address

613 Red Fern Rd
Crestview, FL 32536-5472
Phone (407) 733-2037

Other identifiers 2

IdentifierTypeStateIssuer
001537700MedicaidFL
CT570ZOtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131230000543 AL Practitioner - Family Practice 0244374973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Area Primary Care LLCGroup PAC ID 1658672530, 9 clinicians

Practice addresses (Care Compare)

4800 48TH St
Valley, AL 36854-3666
Phone (334) 756-4860

Hospital & facility affiliations

  • Eamc - Lanier Home Health Home health agency, Valley, AL, CCN 017123
  • Chattahoochee Hospice Inc Hospice, Valley, AL, CCN 011524
  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Eamc - Lanier Hospital, Valley, AL, CCN 010780

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
76.87

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
78.94
Promoting interoperability
100
Improvement activities
40
Cost
72.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority CurrentSince Feb 1, 2014 Accepting new patients
The East Alabama Health Care Authority CurrentSince Feb 1, 2014 Accepting new patients
Valley Area Primary Care, LLC Family Medicine CurrentSince May 1, 2015 Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

4800 48th St
Valley, AL 36854
Phone (334) 756-1401

267 Fob James Dr
Valley, AL 36854
Phone (334) 364-3330

Interoperability endpoints

  • Direct secure messaging: andycarter@vamp.allscriptsdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1144451550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 RED FERN RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365472",
            "telephone_number": "407-733-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RED FERN RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365472",
            "telephone_number": "407-733-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANDY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001537700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CT570Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.