Individual provider Active NPI

Calvin Carter Jamel Jr., R.P.A./R.A./R.T.

  • Radiology Practitioner Assistant
  • Antioch, TN
National Provider Identifier
1215189576
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
08TN1371 Issued in TN
Practice address
1912 Streamfield CT
Antioch, TN 37013-5753
Phone
(615) 491-1281
NPI assigned
Oct 17, 2008
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular-Interventional Technology Radiologic Technologist 2471V0106X 338071 TN
Radiologic Technologist 247100000X 338071 TN
Computed Tomography Radiologic Technologist 2471C3401X 338071 TN
Radiography Radiologic Technologist 2471C3402X 338071 TN
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 338071 TN
Radiology Practitioner Assistant 243U00000X 08TN1371 TN Primary

Addresses

Primary practice location

1912 Streamfield CT
Antioch, TN 37013-5753

Mailing address

1912 Streamfield CT
Antioch, TN 37013-5753
Phone (615) 491-1281

Other names 1

  • Sylvester Calvin Carter Jr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08TN1371TNMDRadiology Practitioner Assistant
338071TNMDComputed Tomography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1215189576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 STREAMFIELD CT",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135753",
            "telephone_number": "615-491-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 STREAMFIELD CT",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135753",
            "telephone_number": "615-491-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMEL",
        "first_name": "CALVIN",
        "middle_name": "CARTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.P.A./R.A./R.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "TN",
            "license": "338071",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TN",
            "license": "338071",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "TN",
            "license": "338071",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TN",
            "license": "338071",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "TN",
            "license": "338071",
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "TN",
            "license": "08TN1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVESTER",
            "last_name": "CARTER",
            "middle_name": "CALVIN",
            "suffix": "JR.",
            "credential": "R.P.A./R.A./R.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.