NPIMap

Individual provider Active NPI

Walter Earl Carnahan, DO

  • Family Medicine Physician
  • Southaven, MS
National Provider Identifier
1174501449
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16014 Issued in MS
Practice address
5908 Getwell Rd
Southaven, MS 38672-7317
Phone
(662) 536-4646
Fax
(662) 536-4443
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Group, LLC (108 clinicians)

Practice addresses (Care Compare)

5908 Getwell Rd
Southaven, MS 38672-7317
Phone (662) 536-4646

Hospital & facility affiliations

  • Accentcare Home Health of Greenwood Home health agency · Greenwood, MS · CCN 257131
  • Baptist Home Care and Hospice North Mississippi Home health agency · Batesville, MS · CCN 257114
  • Vitalcaring Group Home health agency · Cleveland, MS · CCN 257016
  • Homechoice Health Services - Hernando Home health agency · Hernando, MS · CCN 257034
  • Methodist Healthcare - Olive Branch Hospital Hospital · Olive Branch, MS · CCN 250167
  • Baptist Memorial Hospital Desoto Hospital · Southaven, MS · CCN 250141
  • Baptist Memorial Hospital Hospital · Memphis, TN · CCN 440048

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051019000631 MS Practitioner - Family Practice 9537185806 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC Family Medicine Current
since Aug 1, 2013		 Accepting new patients
Family Medical Clinic of North Ms Inc Family Medicine Past
since Oct 1, 2001		 Accepting new patients

Locations

7235 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 893-7878

7900 Airways Blvd
Bldg A6
Southaven, MS 38671
Phone (662) 470-7554

5908 Getwell Rd
Southaven, MS 38672
Phone (662) 536-4646

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: wcarnahan34900@mlh.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16014 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

5908 Getwell Rd
Southaven, MS 38672-7317

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2025.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1174501449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727317",
            "telephone_number": "662-536-4646",
            "fax_number": "662-536-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "WALTER",
        "middle_name": "EARL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.