Carver Community Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD203855 Issued in LA

Legal business name

CARVER COMMUNITY CLINIC, LLC

Practice address

3059 Higgins Blvd
New Orleans, LA 70126-5422

Phone

(504) 520-0203

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Stephen T Jones, MD

Title

Medical Director

Phone

(504) 520-0203

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1225488562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 HIGGINS BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70126",
            "telephone_number": "504-520-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 HIGGINS BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701265422",
            "telephone_number": "504-520-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVER COMMUNITY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-520-0203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD203855",
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "LA",
            "license": "MD203855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093840",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne D. Carter, LAC
• Kevin Douglas Cartwright, MD
• Elizabeth Gootee Caruso, NP-C
• Carver Collegiate Academy
• Carver Collegiate Academy
• Carver Preparatory Academy
• Carver Preparatory Academy
• Kyle Robert Carver, APRN
• Michael Henry Carver, M.D.
• George Rives Cary, MD

• Primary Care Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.