Organization Active NPI

Lee Marvin Carter

  • Family Medicine Physician
  • Huntingdon, TN
National Provider Identifier
1164690178
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD023858 Issued in TN
Legal business name
LEE MARVIN CARTER
Practice address
641 RB Wilson Dr
Huntingdon, TN 38344-1733
Phone
(731) 986-7305
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Lee Marvin Carter, MDNPI 1194774802
Title
Owner
Phone
(731) 986-7305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD023858 TN Primary

Addresses

Primary practice location

641 RB Wilson Dr
Huntingdon, TN 38344-1733

Mailing address

641 RB Wilson Dr
Huntingdon, TN 38344-1733
Phone (731) 986-7305

Other identifiers 1

IdentifierTypeStateIssuer
3728752MedicaidTN

National Provider Directory

National Provider Directory

Locations

641 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-4461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1164690178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 RB WILSON DR",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441733",
            "telephone_number": "731-986-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 RB WILSON DR",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441733",
            "telephone_number": "731-986-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MARVIN CARTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-986-7305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD023858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728752",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.