Iris Carson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10855 Issued in GA

Practice address

6228 Bradley Park Dr
Columbus, GA 31904-3603

Phone

(706) 322-1486

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6fa252c3-32fe-4cd1-9a6f-9884e79f34f6/

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.

• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  Medicare reassignment
• Renal Associates of Lagrange LLC

  • Nephrology Physician
  • Lagrange, GA
  • NPI 1679813406
  Medicare reassignment
• Renal Associates, LLC

  • Nephrology Physician
  • Columbus, GA
  • NPI 1205944311
  Medicare reassignment

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1144974270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAKERIDGE CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319041800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043603",
            "telephone_number": "706-322-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "IRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrington Home Care Agency LLC
• Anslee Carroll
• Cheryl Carroll, M.D.
• Henry Banks Carroll, MD
• Mollie Burt Carroll
• Carter Counseling Service, LLC
• Cherveka Carter-Lockhart, PP
• Angelia Carter-Ransom I
• Alexius Carter, BS, RBT
• Andrea S Carter, LMSW

• Physician Assistant in Columbus, GA
• Providers in Columbus, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.