Individual provider Active NPI

Sam Leon Carson, M.D.

  • Geriatric Psychiatry Physician
  • Abington, PA
National Provider Identifier
1194718569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD039254E Issued in PA
Practice address
1400 Old York Rd
Suite B
Abington, PA 19001-2600
Phone
(215) 972-1100
Fax
(215) 886-3250
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD039254E PA
Geriatric Psychiatry Physician 2084P0805X MD039254E PA Primary

Addresses

Primary practice location

1400 Old York Rd
Suite B
Abington, PA 19001-2600

Mailing address

1400 Old York Rd
Abington, PA 19001-2600
Phone (215) 972-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050728000514 PA Practitioner - Psychiatry 6103854401 Reassigns benefits to 1 organization
Practice locations: Abington, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 308
Abington, PA 19001-3724
Phone (215) 481-5450

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039254EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Apr 20, 2022 Accepting new patients
Abington Memorial Hospital Psychiatry CurrentSince Apr 20, 2022 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 308
Abington, PA 19001
Phone (215) 481-2589

1400 York Rd
Abington, PA 19001
Phone (215) 481-6106

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 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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194718569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012600",
            "telephone_number": "215-972-1100",
            "fax_number": "215-886-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD YORK RD",
            "address_2": "SUITE B",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012600",
            "telephone_number": "215-972-1100",
            "fax_number": "215-886-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "SAM",
        "middle_name": "LEON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039254E",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD039254E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.