Donnell Kajaun Carson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1010 Briar Net
Conroe, TX 77301-1890

Phone

(615) 294-2192

NPI assigned

Jul 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: donnell.carson.1@1438.direct.athenahealth.com
• Direct secure messaging: dcarson@direct.uspi.com

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.

• BHS Physicians Network, Inc

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment Care Compare group
• BHS Physicians Network, Inc

  • Urology Physician
  • Houston, TX
  • NPI 1548613128
  NPD
• BHS Physicians Network, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)
• New Medical Horizons II, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1477583334
  NPD (past)

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

• Tops Specialty Hospital, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184902165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BRIAR NET",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011890",
            "telephone_number": "615-294-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BRIAR NET",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011890",
            "telephone_number": "615-294-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "DONNELL",
        "middle_name": "KAJAUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07043",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "741889584",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "B0178864",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "PA07043",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Carpenter, LPC-A
• Lisa Elaine Carr, MS
• Jesus Gregorio Carrera Boada, SA-C
• Carrick Dentistry, P.a.
• Laura Carrillo
• Lillian Carson
• Robin Carter
• Sherletta Latecia Carter, MSW, LCSW
• Mary Casebolt, FNP
• Madeline Grace Snell Casey, OTD, OTR

• Surgical Physician Assistant in Conroe, TX
• Providers in Conroe, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.