NPIMap

Individual provider Active NPI

Roger Carr, M.D.

  • Internal Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1215011663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42203 Issued in GA
Practice address
105 Carnegie PL
Ste 103
Fayetteville, GA 30214-3980
Phone
(770) 716-7999
Fax
(770) 716-8444
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42203 GA Primary

Addresses

Primary practice location

105 Carnegie PL
Ste 103
Fayetteville, GA 30214-3980

Mailing address

105 Carnegie PL
Ste 103
Fayetteville, GA 30214-3980
Phone (770) 716-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000627 GA Practitioner - Internal Medicine 6103018973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1035 Southcrest Dr
Suite 200
Stockbridge, GA 30281-6116
Phone (770) 442-1911

105 Carnegie PL
Suite 103
Fayetteville, GA 30214-5900
Phone (770) 442-1911

1255 Friendship Rd
Suite 130
Braselton, GA 30517-5617
Phone (770) 442-1911

4303 Jodeco Rd
McDonough, GA 30253-8297
Phone (770) 442-1911

4865 Lavista Rd
Suite a
Tucker, GA 30084-4436
Phone (770) 442-1911

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Interim Healthcare of Atlanta Inc Home health agency, Atlanta, GA, CCN 117067
  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42203GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Piedmont Henry Hospital, Inc. Past Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

105 Carnegie Pl
Ste 103
Fayetteville, GA 30214
Phone (770) 716-7999

1035 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (770) 474-5302

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

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 10

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215011663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CARNEGIE PL",
            "address_2": "STE 103",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143980",
            "telephone_number": "770-716-7999",
            "fax_number": "770-716-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CARNEGIE PL",
            "address_2": "STE 103",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143980",
            "telephone_number": "770-716-7999",
            "fax_number": "770-716-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "42203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.