Individual provider Active NPI

Malcolm Carson, MD

  • Physical Medicine & Rehabilitation Physician
  • Newnan, GA
National Provider Identifier
1164925947
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
96720 Issued in GA
Practice address
2101 Newnan Crossing Blvd E
Newnan, GA 30265-2406
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Mar 17, 2018
Reactivated
Apr 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 96720 GA Primary

Addresses

Primary practice location

2101 Newnan Crossing Blvd E
Newnan, GA 30265-2406

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006000265 GA Practitioner - Physical Medicine and Rehabilitation 7214289321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Health Rehabilitation LLCGroup PAC ID 4284952615, 153 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

2200 Patrick Henry Pkwy
McDonough, GA 30253-4207
Phone (201) 654-6397

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96720GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Feb 26, 2025 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Sep 1, 2023 Accepting new patients
Emory Medical Care Foundation Inc Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Emory Health Care Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1441 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-5511

1968 Peachtree Rd NW
Bldg 26
Atlanta, GA 30309

1968 Peachtree Rd NW
Bldg 2
Atlanta, GA 30309
Phone (404) 585-7247

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

125 Samaritan Dr
Cumming, GA 30040
Phone (770) 537-4482

2200 Patrick Henry Pkwy
McDonough, GA 30253
Phone (470) 713-2000

2101 Newnan Crossing Blvd E
Newnan, GA 30265
Phone (678) 552-6200

Interoperability endpoints

  • Direct secure messaging: mcarson44666@epicdirect.rwjbh.org

Organizations & group practices 5

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 1

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": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1164925947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NEWNAN CROSSING BLVD E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652406",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "deactivation_date": "2018-03-17",
        "reactivation_date": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "96720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.