Individual provider Active NPI

Michael B Carter, MD

  • Emergency Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1174960025
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101263900 Issued in VA
Practice address
1129 Heatherstone Dr
Fredericksburg, VA 22407-4828
Phone
(540) 785-8500
NPI assigned
Jun 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 82521 GA
Internal Medicine Physician 207R00000X 0101263900 VA
Emergency Medicine Physician 207P00000X 0101263900 VA Primary

Addresses

Primary practice location

1129 Heatherstone Dr
Fredericksburg, VA 22407-4828

Mailing address

1129 Heatherstone Dr
Fredericksburg, VA 22407-4828
Phone (540) 785-8500

Other practice location 1

1300 E Marshall St
Richmond, VA 23298
Phone (804) 828-3144

Other practice location 2

1300 E Marshall St
Richmond, VA 23298
Phone (804) 828-3144

Other practice location 3

550 Peachtree St NE
Atlanta, GA 30308
Phone (404) 686-3845

Other practice location 4

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-6282

Other practice location 5

2495 Pocahontas Trl
Quinton, VA 23141-1637
Phone (804) 932-5500

Other practice location 6

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-0996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180424000395 VA Practitioner - Emergency MedicinePractitioner - Internal Medicine 7113167867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mcarter20004@direct.emory.org

Organizations & group practices 1

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 2

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": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1174960025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 HEATHERSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074828",
            "telephone_number": "540-785-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HEATHERSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074828",
            "telephone_number": "540-785-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-3144",
            "fax_number": "804-628-7104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-3144",
            "fax_number": "804-628-7104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Peachtree St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30308",
            "country_code": "US",
            "telephone_number": "404-686-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-443-6282",
            "fax_number": "804-443-6051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2495 Pocahontas Trl",
            "address_purpose": "LOCATION",
            "city": "Quinton",
            "state": "VA",
            "postal_code": "231411637",
            "country_code": "US",
            "telephone_number": "804-932-5500",
            "fax_number": "804-932-5531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-0996",
            "fax_number": "804-628-0384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-02",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "82521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101263900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.